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Stephen Thomas Wagner, DDS
General Practice Dentistry in Princess Anne, Maryland
NPI 1003044173

Stephen Thomas Wagner is a General Practice Dentistry based in Salisbury, MD and is specialized in General Practice. Stephen Thomas Wagner practices in Princess Anne, MD and has the professional credentials of DDS. The NPI Number for Stephen Thomas Wagner is 1003044173 and holds a License No. 14543 (Maryland).

The current practice location address for Stephen Thomas Wagner is 12137 Elm St, Princess Anne, MD and can be reached out via phone at 410-651-5151 and via fax at 410-651-4256.

Location: 12137 Elm St, Princess Anne, MD, 21802-1978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003044173
Provider Name
Stephen Thomas Wagner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12137 Elm St, Princess Anne, MD, 21802-1978
Phone Number
410-651-5151
Fax Number
410-651-4256
Provider Enumeration Date
06/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119591300 05 MD
institution
Provider Business Practice Location Address Details
Address
12137 Elm St
City
Princess Anne
State
Maryland
Zip
21853-1358
Phone Number
410-651-5151
Fax Number
410-651-4256
person
Provider Business Mailing Address Details
Address
12137 Elm St
City
Princess Anne
State
Maryland
Zip
21853-1358
Phone Number
410-651-5151
Fax Number
410-651-4256
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
14543 (Maryland)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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