Organization · Type 2 NPI

Rudolph M. Wagner, Dmd, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Palm Harbor, FL

NPI number 1679146435 Active

Practice location

2595 Tampa Rd Ste I
Palm Harbor, FL 34684-3131

Call (727) 785-8847 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

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…

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About NPI 1679146435

Rudolph M. Wagner, Dmd, PLLC's National Provider Identifier is 1679146435, issued on Jul 20, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Palm Harbor, FL. The record was last updated on Jul 20, 2021.