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

NPI #1760535587 in Jacksonville Beach, Florida

Provider Information

NPI Number
1760535587
Entity Type
Individual
Name
DR. William Scott Wagner, D.M.D., P.A.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D., P.A.
Enumeration Date
Jan 18, 2007
Last Updated
Mar 28, 2014

Practice Location

Address
1400 MARSH LANDING PKWY
Address 2
SUITE 104
State
Florida
ZIP Code
32250-2493
Phone
(904) 834-3737

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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