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WAGNER FAMILY DENTAL
NPI 1104209790
Dentist in Jasper, IN

Active since July 01, 2015
4115 MANNHEIM RD, JASPER, IN 47546(812) 482-4347 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wagner Family Dental NPPES

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

WAGNER FAMILY DENTAL (NPI 1104209790) is a healthcare organization registered as a dentist in Jasper, Indiana and active in the NPI registry since July 2015. The organization lists Brian M. Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1104209790
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWAGNER FAMILY DENTAL
Location Address4115 MANNHEIM RDJasper, IN 47546-2964
Mailing AddressPo Box 712Jasper, IN 47547-0712 · (812) 482-4347
Phone(812) 482-4347
Organization SubpartNo
Authorized OfficialBrian M. WagnerOwner · (812) 482-4347
Enumeration DateJuly 1, 2015
✔ NPI 1104209790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12010568A
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4115 MANNHEIM RD, Jasper, IN 47546
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

COMMONWEALTH PAIN ASSOCIATES PLLC
Durable Medical Equipment & Medical Supplies
4115 MANNHEIM RD
JASPER, IN 47546
Dubois County (812) 476-7111
DAVIESS COUNTY HOSPITAL
Clinic/Center (Multi-Specialty)
4115 MANNHEIM RD
JASPER, IN 47546
Dubois County (812) 254-2760
DR. DANIEL JOHN FRANCIS DMD
Dentist
4115 MANNHEIM RD
JASPER, IN 47546
Dubois County (812) 482-4347

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 Wagner Family Dental's NPI number?

The NPI number for Wagner Family Dental is 1104209790. It was assigned to this organization in the NPPES registry on July 1, 2015.

Where is Wagner Family Dental located?

Wagner Family Dental is located at 4115 Mannheim Rd, Jasper, IN 47546. The listed phone number is (812) 482-4347.

What is Wagner Family Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Wagner Family Dental was last updated on July 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.