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Nicholas Wagner, DDS
NPI 1023338480 · on the registry since 2010
Practice
- Address
- 800 Office Park Dr
Boonville, IN 47601 - Phone
- (812) 897-4889
- Organisation at this address
- Warrick Park Dental
Warrick Park Dental, Llp
Nicholas J Wagner, Dds, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana