William Scott Wagner, D.M.D., P.A.

General Practice Dentistry · Jacksonville Beach, FL

Individual Active NPI

NPI number 1760535587

Practice location

1400 Marsh Landing Pkwy
Suite 104
Jacksonville Beach, FL 32250-2493
Phone
(904) 834-3737
Fax
(904) 758-0545

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NPI record

NPI
1760535587
Entity type
Individual (Type 1)
Enumeration date
January 18, 2007
Last updated
March 28, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN14961 FL

About Dr. Wagner

William Scott Wagner, D.M.D., P.A. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493. The NPI number 1760535587 was assigned on January 18, 2007 and the record was last updated on March 28, 2014.

Dr. Wagner lists a license in the registry: #DN14961 (FL) 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 William Scott Wagner, D.M.D., P.A.?

The NPI number is 1760535587.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (904) 834-3737.

Where is Dr. Wagner located?

1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493.

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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