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SPENCER B WAGNER DMD PC
NPI 1205897378
Clinic/Center - Dental in Fairfax, SC

Active since March 29, 2006
1987 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827(803) 632-3301(803) 632-1240 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spencer B Wagner Dmd Pc NPPES

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

SPENCER B WAGNER DMD PC (NPI 1205897378) is a healthcare organization registered as a dental in Fairfax, South Carolina and active in the NPI registry since March 2006. The organization lists Spencer B Wagner, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205897378
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPENCER B WAGNER DMD PC
Location Address1987 ALLENDALE FAIRFAX HWYFairfax, SC 29827-9137
Mailing AddressPo Box 830Fairfax, SC 29827-0830 · (803) 632-3301 · Fax (803) 632-1240
Phone(803) 632-3301
Fax(803) 632-1240
Organization SubpartNo
Authorized OfficialSpencer B WagnerDentist · (803) 632-3301
Enumeration DateMarch 29, 2006
Last NPPES UpdateOctober 7, 2008
✔ NPI 1205897378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · 3192
1987 ALLENDALE FAIRFAX HWY, Fairfax, SC 29827
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Other Providers at the Same Location NPPES

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

DR. VIVIEN ROSE EBERT DMD
Dentist (General Practice)
1987 ALLENDALE FAIRFAX HWY
FAIRFAX, SC 29827
Allendale County (803) 632-3301

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 Spencer B Wagner Dmd PC's NPI number?

The NPI number for Spencer B Wagner Dmd PC is 1205897378. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Spencer B Wagner Dmd PC located?

Spencer B Wagner Dmd PC is located at 1987 Allendale Fairfax Hwy, Fairfax, SC 29827. The listed phone number is (803) 632-3301.

What is Spencer B Wagner Dmd PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Spencer B Wagner Dmd PC was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.