| Stephen A. Wagner Dds,pc | |
|
801 Encino Pl Ne Ste A3 Albuquerque NM 87102-2639 | |
| (505) 232-3588 | |
| (505) 232-3593 |
| Full Name | Stephen A. Wagner Dds,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 801 Encino Pl Ne Ste A3, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen A Wagner (MAXILLOFACIAL PROSTHODONTIST) |
| Authorized Official Contact | 5052323588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A. Wagner Dds,pc 801 Encino Pl Ne Ste A3 Albuquerque NM 87102-2639 Ph: (505) 232-3588 | Stephen A. Wagner Dds,pc 801 Encino Pl Ne Ste A3 Albuquerque NM 87102-2639 Ph: (505) 232-3588 |
| NPI Number | 1932332285 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 09/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932332285 | NPI | - | NPPES |
| 82743 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DD1150 (New Mexico) | Primary |
James M. Slaman, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8010 Palomas Ave Ne, Suite B, Albuquerque, NM 87109 Phone: 505-881-7586 Fax: 505-880-1769 | |
Sunshine Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10411 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 Phone: 505-298-0456 Fax: 505-298-4467 | |
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Timothy L Gutierrez Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1513 Carlisle Blvd Ne, Albuquerque, NM 87110 Phone: 505-881-7373 Fax: 505-881-5096 |