DR. WILLIAM CLAUDE WAGNER DDS
NPI 1477603702
Dentist - General Practice in Bloomington, IL

Q: What is William Wagner's NPI number?

The NPI number for William Wagner is 1477603702. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is William Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 11, 2007

211 N PRAIRIE ST, BLOOMINGTON, IL 61701(309) 829-6112(309) 829-6112 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. William Claude Wagner Dds NPPES

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

DR. WILLIAM CLAUDE WAGNER DDS (NPI 1477603702) is an individual general practice provider in Bloomington, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1477603702

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WILLIAM CLAUDE WAGNERCredential: DDS

Location Address211 N PRAIRIE STBloomington, IL 61701

Mailing Address211 N Prairie StBloomington, IL 61701 · (309) 829-6112 · Fax (309) 829-6112

Phone(309) 829-6112

Fax(309) 829-6112

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477603702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

211 N PRAIRIE ST, Bloomington, IL 61701

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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 William Wagner's NPI number?

The NPI number for William Wagner is 1477603702. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is William Wagner located?

William Wagner practices at 211 N Prairie St, Bloomington, IL 61701. The listed phone number is (309) 829-6112.

What is William 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 William Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.