Wagner, Wayne F
Wagner, Wayne F is an individual health care provider with primary practice located at 1580 N Northwest Hwy #300, Park Ridge IL 60068-1469. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is her primary health care specialty. Wagner, Wayne F can be contacted via phone (847) 390-8200.Contact Information
Primary practice address
1580 N Northwest Hwy #300
Park Ridge IL 60068-1469
Phone: (847) 390-8200
Fax: (847) 390-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Iowa | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | Iowa |
Profile Details
| NPI number | 1003876988 |
|---|---|
| LBN Legal business name | Wagner, Wayne F |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 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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