| Eric J. Wagner, Dds | |
|
112 2nd Ave Nw Hampton IA 50441-1724 | |
| (641) 456-2625 | |
| (641) 456-2404 |
| Full Name | Eric J. Wagner, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 112 2nd Ave Nw, Hampton, Iowa |
| Authorized Official Name and Position | Eric Wagner (OWNER) |
| Authorized Official Contact | 6414562625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J. Wagner, Dds 112 2nd Ave Nw Hampton IA 50441-1724 Ph: (641) 456-2625 | Eric J. Wagner, Dds 112 2nd Ave Nw Hampton IA 50441-1724 Ph: (641) 456-2625 |
| NPI Number | 1659538593 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659538593 | NPI | - | NPPES |
| 71928 | Medicaid | IA | |
| 1326009143 | Other | IA | NPI, TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6932 (Iowa) | Primary |
Paul A. Sensor, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 2nd Ave Nw, Hampton, IA 50441 Phone: 641-456-2625 Fax: 641-456-2404 | |
Hampton Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 N Federal St, Hampton, IA 50441 Phone: 641-456-3352 | |
Dr. William B. Moore, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 N Federal St, Hampton, IA 50441 Phone: 641-456-3352 Fax: 641-456-2720 |