Individual
DR. NEILSON LANE WAGLEY
Active
Individual
DR. NEILSON LANE WAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11222
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.026403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11222
STATE DENTAL LICENSE
TN
01
—
30.026403
STATE DENTAL LICENSE
OH
Enumeration date
04/11/2017
Last updated
06/14/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up