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Eric J. Wagner, Dds
Dental Clinic/Center in Hampton, Iowa
NPI 1659538593

Eric J. Wagner, Dds is a Dental Clinic/Center based in Hampton, IA and is specialized in Dental. Eric J. Wagner, Dds practices in Hampton, IA. The NPI Number for Eric J. Wagner, Dds is 1659538593 and holds a License No. 6932 (Iowa).

The current practice location address for Eric J. Wagner, Dds is 112 2Nd Ave Nw, Hampton, IA and can be reached out via phone at 641-456-2625 and via fax at 641-456-2404.

Location: 112 2Nd Ave Nw, Hampton, IA, 50441-1724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659538593
Provider Name
Eric J. Wagner, Dds
Credential
Provider Entity Type
Organization
Address
112 2Nd Ave Nw, Hampton, IA, 50441-1724
Phone Number
641-456-2625
Fax Number
641-456-2404
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71928 05 IA
1326009143 01 IA NPI, TYPE 1
institution
Provider Business Practice Location Address Details
Address
112 2Nd Ave Nw
City
Hampton
State
Iowa
Zip
50441-1724
Phone Number
641-456-2625
Fax Number
641-456-2404
person
Provider Business Mailing Address Details
Address
112 2Nd Ave Nw
City
Hampton
State
Iowa
Zip
50441-1724
Phone Number
641-456-2625
Fax Number
641-456-2404
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
6932 (Iowa)
Definition
Definition to come...
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