WARRICK PARK DENTAL
NPI 1306231717
Dentist in Boonville, IN

Active since April 02, 2015
800 OFFICE PARK DR, BOONVILLE, IN 47601(812) 897-4889 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Warrick Park Dental NPPES

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

WARRICK PARK DENTAL (NPI 1306231717) is a healthcare organization registered as a dentist in Boonville, Indiana and active in the NPI registry since April 2015. The organization lists Nicholas J Wagner, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1306231717
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameNICHOLAS J WAGNER, DDS, LLC
Location Address800 OFFICE PARK DRBoonville, IN 47601-8601
Mailing Address800 Office Park DrBoonville, IN 47601-8601 · (812) 897-4889
Organization SubpartNo
Authorized OfficialNicholas J WagnerDentist/owner · (812) 897-4889
Enumeration DateApril 2, 2015
NPI 1306231717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 12011465A
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.

800 OFFICE PARK DR, Boonville, IN 47601

Other Names 1

Doing Business AsWarrick Park Dental

Other Identifiers 2

Medicaid1023338480IN
Medicaid1588740815IN

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 4

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

Dentist (General Practice)
800 OFFICE PARK DR
BOONVILLE, IN 47601
Dentist (General Practice)
800 OFFICE PARK DR
BOONVILLE, IN 47601
Dentist
800 OFFICE PARK DR
BOONVILLE, IN 47601
Dentist (General Practice)
800 OFFICE PARK DR
BOONVILLE, IN 47601

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 Nicholas J Wagner, Dds, LLC's NPI number?

The NPI number for Nicholas J Wagner, Dds, LLC is 1306231717. It was assigned to this organization in the NPPES registry on April 2, 2015. The provider is doing business as Warrick Park Dental.

Where is Nicholas J Wagner, Dds, LLC located?

Nicholas J Wagner, Dds, LLC is located at 800 Office Park Dr, Boonville, IN 47601. The listed phone number is (812) 897-4889.

What is Nicholas J Wagner, Dds, LLC'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 Nicholas J Wagner, Dds, LLC was last updated on April 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.