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Dr. Neilson Lane Wagley, DMD
Oral and Maxillofacial Surgery (Dentist) in Austintown, Ohio
NPI 1427582964

Neilson Lane Wagley is a Oral and Maxillofacial Surgery (Dentist) based in Austintown, OH and is specialized in Oral and Maxillofacial Surgery. Neilson Lane Wagley practices in Austintown, OH and has the professional credentials of DMD. The NPI Number for Neilson Lane Wagley is 1427582964 and holds a License No. 11222 (Ohio).

The current practice location address for Neilson Lane Wagley is 5437 Mahoning Ave, Austintown, OH and can be reached out via phone at 330-792-2501.

Location: 5437 Mahoning Ave, Austintown, OH, 44515-2437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427582964
Provider Name
Neilson Lane Wagley
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
5437 Mahoning Ave, Austintown, OH, 44515-2437
Phone Number
330-792-2501
Fax Number
Provider Enumeration Date
04/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11222 01 TN STATE DENTAL LICENSE
30.026403 01 OH STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
5437 Mahoning Ave
City
Austintown
State
Ohio
Zip
44515-2437
Phone Number
330-792-2501
Fax Number
person
Provider Business Mailing Address Details
Address
5437 Mahoning Ave
City
Austintown
State
Ohio
Zip
44515-2437
Phone Number
330-792-2501
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
30.026403 (Ohio)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
11222 (Tennessee)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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