Jim Wagner, DDS, MS

NPI 1508013210 · on the registry since 2008 · sole proprietor

Practice

Address: 2605 Browns Ln
Jonesboro, AR 72401
Phone: (870) 972-5445
Fax: (870) 972-0852
Organisation at this address: Dickson Family Dental Care
Herman E. Hurd, Dds, Vii, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-25

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 Arkansas