Wagner, Donald Edward

Wagner, Donald Edward is an individual health care provider with primary practice located at 147 Willow Ridge Dr , Amherst NY 14228-3050. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Wagner, Donald Edward can be contacted via phone (716) 691-9195.

Contact Information

Primary practice address
147 Willow Ridge Dr Amherst NY 14228-3050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 24701 New York
Dental Providers / General Practice 1223G0001X 24701 New York

Profile Details

NPI number 1295838878
LBN Legal business name Wagner, Donald Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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