| Scott Wagnild Dds,llc | |
|
1108 Western Ave Fergus Falls MN 56537-4808 | |
| (218) 736-4000 | |
| (218) 736-0766 |
| Full Name | Scott Wagnild Dds,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1108 Western Ave, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Charlene Klovstad (BUSINESS MANAGER) |
| Authorized Official Contact | 2187364000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Wagnild Dds,llc 1108 Western Ave Fergus Falls MN 56537-4808 Ph: (218) 736-4000 | Scott Wagnild Dds,llc 1108 Western Ave Fergus Falls MN 56537-4808 Ph: (218) 736-4000 |
| NPI Number | 1033723309 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033723309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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