Stephen A. Wagner, DDS

Prosthodontics · Albuquerque, NM

Individual Active NPI

NPI number 1336131267

Practice location

801 Encino Pl NE
Suite a-3
Albuquerque, NM 87102-2612
Phone
(505) 232-3588
Fax
(505) 232-3593

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NPI record

NPI
1336131267
Entity type
Individual (Type 1)
Enumeration date
August 17, 2005
Last updated
April 30, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 1150 NM

About Dr. Wagner

Stephen A. Wagner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 801 Encino Pl NE, Suite a-3, Albuquerque, NM 87102-2612. The NPI number 1336131267 was assigned on August 17, 2005 and the record was last updated on April 30, 2014.

Dr. Wagner lists a license in the registry: #1150 (NM) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen A. Wagner, DDS?

The NPI number is 1336131267.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (505) 232-3588.

Where is Dr. Wagner located?

801 Encino Pl NE, Suite a-3, Albuquerque, NM 87102-2612.

What is the taxonomy code for Dr. Wagner?

The primary taxonomy code is 1223P0700X – Prosthodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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