Individual provider · Type 1 NPI

Spencer B. Wagner, D.M.D

Dentist · Provo, UT

NPI number 1578732467 Active

Practice location

2520 N University Ave, Suite 101
Provo, UT 84604-3804

Fax (801) 224-2966

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X3192 (SC)
Dentist 122300000X6026130 (UT)

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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About NPI 1578732467

Spencer B. Wagner, D.M.D's National Provider Identifier is 1578732467, issued on Feb 25, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Provo, UT. The record was last updated on Sep 29, 2026.