Bryan L. Wagner, D.M.D.

General Practice Dentistry · Cleveland, OH

Individual Active NPI

NPI number 1629621545

Practice location

8300 Hough Ave
Cleveland, OH 44103-4247
Phone
(216) 231-7700
Fax
(216) 231-7920

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NPI record

NPI
1629621545
Entity type
Individual (Type 1)
Enumeration date
July 19, 2019
Last updated
July 19, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30.025923 OH

Mailing address

4800 Payne Ave
Cleveland, OH 44103-2443
Phone
(216) 231-7700
Fax
(216) 231-3828

About Dr. Wagner

Bryan L. Wagner, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8300 Hough Ave, Cleveland, OH 44103-4247. The NPI number 1629621545 was assigned on July 19, 2019 and the record was last updated on July 19, 2019.

Dr. Wagner lists a license in the registry: #30.025923 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan L. Wagner, D.M.D.?

The NPI number is 1629621545.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (216) 231-7700.

Where is Dr. Wagner located?

8300 Hough Ave, Cleveland, OH 44103-4247.

What is the taxonomy code for Dr. Wagner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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