Dennis Ryan Wagner, DMD
Dentist, General Practice in Quincy, IL. Individual provider (NPI-1).
NPI number1982803920
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1982803920
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dennis Ryan Wagner
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019027406 | IL | Yes |
Practice location
407 South 48th StQuincy, IL 62305
Phone 217-228-9467 · Fax 217-228-0131
Mailing address
912 Country Club HeightsApt 103
Quincy, IL 62301
Phone 217-221-8534
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All 29 General Practice Dentistry providers in Quincy · All 1,678 providers in Quincy
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