Individual provider · Type 1 NPI
William Claude Wagner, DDS
General Practice Dentistry · Bloomington, IL
NPI number
1477603702
Active
Practice location
211 N Prairie St
Bloomington, IL 61701
Fax (309) 829-6112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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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.