Individual provider · Type 1 NPI
Jacob Ryan Wagner, DDS
Dentist · Crandon, WI
Practice location
8201 Mish Ko Swen Dr
Crandon, WI 54520-8631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 6002171-15 (WI) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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Other dentist providers in Crandon
About NPI 1538017140
Jacob Ryan Wagner, DDS's National Provider Identifier is 1538017140, issued on Mar 19, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Crandon, WI. The record was last updated on Jun 4, 2026.