Wagner, Woodrow Wilson

Wagner, Woodrow Wilson is an sole proprietor health care provider with primary practice located at 754 S Main St Suite #1, St George UT 84770-5504. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wagner, Woodrow Wilson can be contacted via phone (435) 674-9777.

Contact Information

Primary practice address
754 S Main St Suite #1 St George UT 84770-5504
Phone: (435) 674-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 145542-9922 Utah

Profile Details

NPI number 1871620641
LBN Legal business name Wagner, Woodrow Wilson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 18 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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