NPI 1003044173

Stephen Thomas Wagner, DDS

Practitioner General Practice Dentistry Princess Anne, MD

Practice location

Address: 12137 Elm St, Princess Anne, MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Mailing address: PO Box 1978, Salisbury, MD 21802-1978

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 14543 (MD)

Other Dentist providers in Maryland →

Registry record

NPI: 1003044173
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2009
Record last updated: 25 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.