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

NPI 1760535587 · on the registry since 2007 · sole proprietor

Practice

Address: 1400 Marsh Landing Pkwy
Suite 104
Jacksonville Beach, FL 32250
Phone: (904) 834-3737
Fax: (904) 758-0545
Organisation at this address: Eccella Smiles Pa
Spinewell Disc & Joint Centers Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-28

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 Florida