# ROBERT P WAGNER DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861697484
- **Authorized official:** DR. ROBERT P WAGNER DMD (PRESIDENT)
- **Authorized official phone:** 40625491938

## Contact information

- **Practice address:** 1216 16TH ST W, SUITE 34, BILLINGS, MT 59102-4100
- **Practice address phone:** (406) 259-1938
- **Mailing address:** 1216 16TH ST W, SUITE 34, BILLINGS, MT 59102-4100
- **Mailing address phone:** (406) 259-1938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 13-7449 | — | MT |
| 05 | — | 5512573 | — | MT |