Individual
DR. RICHARD W WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 W FRANKLIN ST, SUITE 201, CHAPEL HILL, NC 27516-2524
(919) 967-9291
(919) 942-4446
Mailing address
123 W FRANKLIN ST, SUITE 201, CHAPEL HILL, NC 27516-2524
(919) 967-9291
(919) 942-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7701
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098741004
ADA
—
Enumeration date
06/11/2008
Last updated
03/07/2023
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