Individual
DR. WAYNE F WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1580 N NORTHWEST HWY, #300, PARK RIDGE, IL 60068-1469
(847) 390-8200
(847) 390-0479
Mailing address
1580 N NORTHWEST HWY, #300, PARK RIDGE, IL 60068-1469
(847) 390-8200
(847) 390-0479
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IA
Other
Enumeration date
03/24/2006
Last updated
09/11/2025
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