Active NPIIndividual provider

Dr. Phyllis W Wagstaff, DMD

Dentist in North Conway, New Hampshire

NPI Number1023187598
Practice location
43 Grove Street, North Conway, NH 03860-5310
Fax
603-356-8383
Last updated
July 8, 2007

Phyllis Weaver Wagstaff is a Dentist based in North Conway, NH. Phyllis Weaver Wagstaff practices in North Conway, NH and has the professional credentials of DMD. The NPI Number for Phyllis Weaver Wagstaff is 1023187598 and holds a License No. 2888 (NH). The current practice location address for Phyllis Weaver Wagstaff is 43 Grove Street, North Conway, NH 03860-5310 and can be reached out via phone at 603-356-8282 and via fax at 603-356-8383.

Provider Profile Details

NPI Number
1023187598
Provider Name
Phyllis Weaver Wagstaff
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
43 Grove Street, North Conway, NH 03860-5310
Phone Number
603-356-8282
Fax Number
603-356-8383
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
November 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Grove Street
North Conway, NH 03860-5310
Zip
03860-5310
Phone Number
603-356-8282
Fax Number
603-356-8383
North Conway, NH 03860Get directions →

Provider Business Mailing Address Details

Address
Po Box 989
North Conway, NH 03860-0989
City
North Conway
State
NH
Zip
03860-0989
Phone Number
603-356-8282
Fax Number
603-356-8383

License Information

License Number
2888
License State
NH
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Phyllis W Wagstaff, DMD?

The NPI number of Dr. Phyllis W Wagstaff, DMD is 1023187598. It was assigned on November 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Phyllis W Wagstaff, DMD?

Dr. Phyllis W Wagstaff, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NH under license number 2888.

Where does Dr. Phyllis W Wagstaff, DMD practice?

The practice location is 43 Grove Street, North Conway, NH 03860-5310. The office can be reached at 603-356-8282 (phone) or 603-356-8383 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023187598 directly on the NPPES registry website.

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