Active NPIOrganization

Melinda L. Wagner DMD LLC

Dentist, General Practice in Red Bank, New Jersey

NPI Number1891085569
Practice location
191 Broad St., Red Bank, NJ 07701
Fax
732-747-5524
Last updated
April 14, 2011

Melinda L. Wagner DMD LLC is a healthcare organization based in Red Bank, NJ. Melinda L. Wagner DMD LLC practices in Red Bank, NJ. The NPI Number for Melinda L. Wagner DMD LLC is 1891085569 and holds a License No. 14142 (NJ). The current practice location address for Melinda L. Wagner DMD LLC is 191 Broad St., Red Bank, NJ 07701 and can be reached out via phone at 732-747-2022 and via fax at 732-747-5524.

Provider Profile Details

NPI Number
1891085569
Provider Name
Melinda L. Wagner DMD LLC
Provider Entity Type
Organization
Address
191 Broad St., Red Bank, NJ 07701
Phone Number
732-747-2022
Fax Number
732-747-5524
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Melinda L. Wagner, DMD · Owner · 732-747-2022
Provider Enumeration Date
April 14, 2011
Last Update Date
April 14, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
191 Broad St.
Red Bank, NJ 07701
Zip
07701
Phone Number
732-747-2022
Fax Number
732-747-5524
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
191 Broad St.
Red Bank, NJ 07701
City
Red Bank
State
NJ
Zip
07701
Phone Number
732-747-2022
Fax Number
732-747-5524

License Information

License Number
14142
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Melinda L. Wagner DMD LLC?

The NPI number of Melinda L. Wagner DMD LLC is 1891085569. It was assigned on April 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Melinda L. Wagner DMD LLC?

Melinda L. Wagner DMD LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 14142.

Where does Melinda L. Wagner DMD LLC practice?

The practice location is 191 Broad St., Red Bank, NJ 07701. The office can be reached at 732-747-2022 (phone) or 732-747-5524 (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 1891085569 directly on the NPPES registry website.

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