| Will Wagner D.m.d., Llc | |
|
1663 Mcfarland Blvd N Suite G-5 Tuscaloosa AL 35406-2250 | |
| (205) 349-9092 | |
| Not Available |
| Full Name | Will Wagner D.m.d., Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1663 Mcfarland Blvd N, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Will Wagner (MEMBER) |
| Authorized Official Contact | 2053499092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Will Wagner D.m.d., Llc 620 Hartford Dr Tuscaloosa AL 35406-1799 Ph: () - | Will Wagner D.m.d., Llc 1663 Mcfarland Blvd N Suite G-5 Tuscaloosa AL 35406-2250 Ph: (205) 349-9092 |
| NPI Number | 1316299076 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316299076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5177 (Alabama) | Primary |
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