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STEPHEN THOMAS WAGNER DDS
NPI 1003044173
Dentist - General Practice in Princess Anne, MD

Active since June 29, 2009
12137 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-4256 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Thomas Wagner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN THOMAS WAGNER DDS (NPI 1003044173) is an individual general practice provider in Princess Anne, Maryland, licensed in Maryland (14543) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1003044173
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHEN THOMAS WAGNERCredential: DDS
Location Address12137 ELM STPrincess Anne, MD 21853-1358
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 651-5151
Fax(410) 651-4256
Sole ProprietorNo
Enumeration DateJune 29, 2009
Last NPPES UpdateJanuary 25, 2010
✔ NPI 1003044173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 14543
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12137 ELM ST, Princess Anne, MD 21853
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Other Identifiers 2

Medicaid119591300MD
Medicare PINS118MD

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERFORMANCE PHYSIOTHERAPY, INC.
Physical Therapist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (252) 367-1118
DONNA M MARKHAM RDH
Dental Hygienist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-9852
SARAH E LONG DENTAL HYGIENIST
Dental Hygienist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
ALICIA M. BROOKS RDH
Dental Hygienist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-9852
THREE LOWER COUNTIES COMMUNITY SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
HEATHER LEIGH FLEMING RDH
Dental Hygienist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
HAU T. LE DMD
Dentist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-9852
SUSAN SMITH-WALLS PHARMACIST
Pharmacist
12137 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Wagner's NPI number?

The NPI number for Stephen Wagner is 1003044173. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Stephen Wagner located?

Stephen Wagner practices at 12137 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Stephen Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Stephen Wagner was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.