Individual provider · Type 1 NPI
Jim A. Wagner, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Jonesboro, AR
Practice location
2605 Browns Ln
Jonesboro, AR 72401
Fax (870) 972-0852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2138 (AR) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1508013210
Jim A. Wagner, DDS, MS's National Provider Identifier is 1508013210, issued on Aug 25, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Jonesboro, AR. The record was last updated on Aug 25, 2008.