Organization
NICHOLAS J WAGNER, DDS, LLC
Active
Other names
Warrick Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J WAGNER DDS (DENTIST/OWNER)
(812) 897-4889
Entity
Organization
Contact information
Practice address
800 OFFICE PARK DR, BOONVILLE, IN 47601-8601
(812) 897-4889
Mailing address
800 OFFICE PARK DR, BOONVILLE, IN 47601-8601
(812) 897-4889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011465A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023338480
—
IN
05
—
1588740815
—
IN
Enumeration date
04/02/2015
Last updated
04/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us