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Peter C. Wagner, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Chehalis, Washington
NPI 1609992932

Peter C. Wagner is a Orthodontics and Dentofacial Orthopedic Dentist based in Chehalis, WA and is specialized in Orthodontics and Dentofacial Orthopedics. Peter C. Wagner practices in Chehalis, WA and has the professional credentials of DMD. The NPI Number for Peter C. Wagner is 1609992932 and holds a License No. 6937 (Washington).

The current practice location address for Peter C. Wagner is 1292 S Market Blvd, Chehalis, WA and can be reached out via phone at 360-748-6636 and via fax at 360-748-3176.

Location: 1292 S Market Blvd, Chehalis, WA, 98532-3645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609992932
Provider Name
Peter C. Wagner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1292 S Market Blvd, Chehalis, WA, 98532-3645
Phone Number
360-748-6636
Fax Number
360-748-3176
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5022231 05 WA
institution
Provider Business Practice Location Address Details
Address
1292 S Market Blvd
City
Chehalis
State
Washington
Zip
98532-3645
Phone Number
360-748-6636
Fax Number
360-748-3176
person
Provider Business Mailing Address Details
Address
1292 S Market Blvd
City
Chehalis
State
Washington
Zip
98532-3645
Phone Number
360-748-6636
Fax Number
360-748-3176
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
6937 (Washington)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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