Individual provider · Type 1 NPI
Scott William Wagner, DDS
General Practice Dentistry · Tulsa, OK
NPI number
1902909005
Active
Practice location
9035 East 62nd Street South
Tulsa, OK 74133
Fax (918) 662-3922
Mailing address
9035 E 62nd St So
Tulsa, OK 74133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5335 (OK) |
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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- Connor Michael Daugherty, DDSGeneral Practice Dentistry Tulsa, OK NPI 1043903073
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About NPI 1902909005
Scott William Wagner, DDS's National Provider Identifier is 1902909005, issued on Sep 6, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tulsa, OK. The record was last updated on Jun 5, 2014.