| Chad L Wagstaff, DDS | |
|
2640 N Highway 162, Eden, UT 84310-9745 | |
| (801) 745-1100 | |
| Not Available |
| Full Name | Chad L Wagstaff |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2640 N Highway 162, Eden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730212564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-025276 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chad L Wagstaff, DDS Po Box 805, 2640 N Highway 162, Eden, UT 84310-0805 Ph: () - | Chad L Wagstaff, DDS 2640 N Highway 162, Eden, UT 84310-9745 Ph: (801) 745-1100 |
Dr. Vern Quincy Iverson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 | |
Ashley A Burton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 | |
Dr. Brigham Kenneth Burton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2627 N Highway 162, Eden, UT 84310 Phone: 801-745-3882 Fax: 801-745-6207 |