Individual provider · Type 1 NPI

Bryan L. Wagner, DMD

General Practice Dentistry · Cleveland, OH

NPI number 1629621545 Active

Practice location

8300 Hough Ave
Cleveland, OH 44103-4247

Fax (216) 231-7920

Mailing address

4800 Payne Ave
Cleveland, OH 44103-2443

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X30.025923 (OH)

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 1629621545

Bryan L. Wagner, DMD's National Provider Identifier is 1629621545, issued on Jul 19, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cleveland, OH. The record was last updated on Jul 19, 2019.