Individual provider · Type 1 NPI

Richard W. Wagner Jr., DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Sioux City, IA

NPI number 1710050893 Active

Practice location

3012 Hamilton Blvd
Sioux City, IA 51104

Fax (712) 258-1461

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	6637 (IA)

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 1710050893

Richard W. Wagner Jr., DDS MS's National Provider Identifier is 1710050893, issued on Nov 16, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sioux City, IA. The record was last updated on Jul 8, 2007.