Daniel Jay Wagner, MD
Dentist in Mobile, AL. Individual provider (NPI-1).
NPI number1528096492
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528096492
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel Jay Wagner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | LNO3646 | AL | Yes |
Practice location
1303 Dr Martin L King Jr AveMobile, AL 36603-5341
Phone 251-432-4112 · Fax 251-964-4012
Mailing address
Po Box 2048Mobile, AL 36652-2048
Phone 251-432-4117 · Fax 251-964-4012
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All 72 Dentist providers in Mobile · All 8,308 providers in Mobile
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