| Dr Spencer B Wagner, DMD | |
|
2520 N University Ave, Suite 101, Provo, UT 84604-3804 | |
| (801) 426-6255 | |
| (801) 224-2966 |
| Full Name | Dr Spencer B Wagner |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 2520 N University Ave, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578732467 | NPI | - | NPPES |
| Z31920 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3192 (South Carolina) | Primary |
| 122300000X | Dentist | 6026130 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer B Wagner, DMD 2520 N University Ave, Suite 101, Provo, UT 84604-3804 Ph: (801) 426-6255 | Dr Spencer B Wagner, DMD 2520 N University Ave, Suite 101, Provo, UT 84604-3804 Ph: (801) 426-6255 |
Noelle L Wilhelmsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 W 100 N, Provo, UT 84601 Phone: 801-374-9660 | |
Dr. Tanner Gardner Perry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 River Park Dr Ste 225, Provo, UT 84604 Phone: 801-225-7111 | |
Dr. Steven K. Flick, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1355 N. University Ave., Suite 310, Provo, UT 84604 Phone: 801-373-2693 Fax: 801-374-6316 | |
Corbin Matthews, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 835 N 700 E, Provo, UT 84606 Phone: 801-373-7700 Fax: 801-370-0762 | |
Dr. Louis A Erickson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 N 500 W, Suite 201 B, Provo, UT 84601 Phone: 801-374-5100 Fax: 801-375-2464 | |
Dr. Paul Henry Rogers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 N. 500 W., #201, Provo, UT 84601 Phone: 801-361-7131 | |
Dr. Gary M Hulet, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 N 500 W, Suite 101b, Provo, UT 84601 Phone: 801-375-1275 Fax: 801-375-1294 |