Individual provider · Type 1 NPI
David Alan Wagner, DDS
Prosthodontics · Fenton, MI
NPI number
1841539905
Active
Practice location
500 N Leroy St
Fenton, MI 48430-2734
Fax (810) 629-3218
Mailing address
201S Michigan Ave
Big Rapids, MI 49307-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics | 1223P0700X | DS038617 (PA) |
| Prosthodontics Primary | 1223P0700X | 2901020879 (MI) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
About NPI 1841539905
David Alan Wagner, DDS's National Provider Identifier is 1841539905, issued on Feb 11, 2013. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fenton, MI. The record was last updated on Jul 14, 2015.