DR. RUDOLPH MICHAEL WAGNER D.M.D.
NPI 1154556132
Dentist - Orthodontics and Dentofacial Orthopedics in Palm Harbor, FL

Active since May 20, 2009
2595 TAMPA RD STE I, PALM HARBOR, FL 34684(727) 785-8847(277) 785-9372 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rudolph Michael Wagner D.m.d. NPPES

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

DR. RUDOLPH MICHAEL WAGNER D.M.D. (NPI 1154556132) is an individual orthodontics and dentofacial orthopedics provider in Palm Harbor, Florida, licensed in Florida (21125) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1154556132
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. RUDOLPH MICHAEL WAGNERCredential: D.M.D.
Location Address2595 TAMPA RD STE IPalm Harbor, FL 34684-3131
Mailing Address2595 Tampa Rd Ste IPalm Harbor, FL 34684-3131 · (727) 785-8847
Fax(277) 785-9372
Sole ProprietorNo
Enumeration DateMay 20, 2009
Last NPPES UpdateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
NPI 1154556132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · 21125
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

2595 TAMPA RD STE I, Palm Harbor, FL 34684

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
2595 TAMPA RD STE I
PALM HARBOR, FL 34684

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 Rudolph Wagner's NPI number?

The NPI number for Rudolph Wagner is 1154556132. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Rudolph Wagner located?

Rudolph Wagner practices at 2595 Tampa Rd Ste I, Palm Harbor, FL 34684. The listed phone number is (727) 785-8847.

What is Rudolph Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Rudolph Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Rudolph Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rudolph Wagner was last updated on July 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.