Individual
RICHARD W WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
3012 HAMILTON BLVD, SIOUX CITY, IA 51104
(712) 258-0501
(712) 258-1461
Mailing address
3012 HAMILTON BLVD, SIOUX CITY, IA 51104
(712) 258-0501
(712) 258-1461
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6637
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207233
—
IA
05
—
10025343600
—
NE
05
—
7900130
—
SD
Enumeration date
11/16/2006
Last updated
07/08/2007
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