Wagner, Rudolph Michael
Wagner, Rudolph Michael is an individual health care provider with primary practice located at 2595 Tampa Rd Ste I , Palm Harbor FL 34684-3131. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wagner, Rudolph Michael can be contacted via phone (727) 785-8847.Contact Information
Primary practice address
2595 Tampa Rd Ste I
Palm Harbor FL 34684-3131
Phone: (727) 785-8847
Fax: (277) 785-9372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 21125 | Florida |
Profile Details
| NPI number | 1154556132 |
|---|---|
| LBN Legal business name | Wagner, Rudolph Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2009 |
| Last updated | Jul 20th, 2021 - about 3 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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