RUDOLPH M. WAGNER, DMD, PLLC
NPI 1679146435
Dentist - Orthodontics and Dentofacial Orthopedics in Palm Harbor, FL

Active since July 20, 2021
2595 TAMPA RD STE I, PALM HARBOR, FL 34684(727) 785-8847 Get Directions Write a Review

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

About Rudolph M. Wagner, Dmd, Pllc NPPES

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

RUDOLPH M. WAGNER, DMD, PLLC (NPI 1679146435) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Palm Harbor, Florida and active in the NPI registry since July 2021. The organization lists Rudolph Wagner, Orthodontist/ Managing Member, as its authorized official.

NPPES Registry Identity

NPI1679146435
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameRUDOLPH M. WAGNER, DMD, PLLC
Location Address2595 TAMPA RD STE IPalm Harbor, FL 34684-3131
Mailing Address2595 Tampa Rd Ste IPalm Harbor, FL 34684-3131 · (727) 785-8847
Organization SubpartNo
Authorized OfficialRudolph WagnerOrthodontist/ Managing Member · (727) 785-8847
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
NPI 1679146435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
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

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

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 M. Wagner, Dmd, PLLC's NPI number?

The NPI number for Rudolph M. Wagner, Dmd, PLLC is 1679146435. It was assigned to this organization in the NPPES registry on July 20, 2021.

Where is Rudolph M. Wagner, Dmd, PLLC located?

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

What is Rudolph M. Wagner, Dmd, PLLC's specialty?

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

When was this NPI record last updated?

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