Individual provider · Type 1 NPI

William Claude Wagner, DDS

General Practice Dentistry · Bloomington, IL

NPI number 1477603702 Active

About NPI 1477603702

William Claude Wagner, DDS's National Provider Identifier is 1477603702, issued on Jan 11, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bloomington, IL. The record was last updated on Jul 8, 2007.