Jamison Wagner, DDS

NPI 1831881697 · on the registry since 2023

Practice

Address: 263 Country Clb Ste 103
Stansbury Park, UT 84074
Phone: (801) 918-0960
Organisation at this address: Wisdom Teeth Centers Llc
Mcconnell Dental Care Iii
Stansbury Park Dental Care
Stansbury Park Pediatric Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-22

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 Utah