Individual provider · Type 1 NPI
Neilson Lane Wagley, DMD
Oral and Maxillofacial Surgery (Dentist) · Austintown, OH
NPI number
1427582964
Active
Practice location
5437 Mahoning Ave
Austintown, OH 44515-2437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 11222 (TN) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 30.026403 (OH) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
About NPI 1427582964
Neilson Lane Wagley, DMD's National Provider Identifier is 1427582964, issued on Apr 11, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Austintown, OH. The record was last updated on Jun 14, 2021.