SCOTT WILLIAM WAGNER DDS
NPI 1902909005
Dentist - General Practice in Tulsa, OK

Q: What is Scott Wagner's NPI number?

The NPI number for Scott Wagner is 1902909005. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Scott 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 Scott Wagner was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 06, 2006

9035 EAST 62ND STREET SOUTH, TULSA, OK 74133(918) 622-3915(918) 662-3922 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Scott William Wagner Dds NPPES

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

SCOTT WILLIAM WAGNER DDS (NPI 1902909005) is an individual general practice provider in Tulsa, Oklahoma, licensed in Oklahoma (5335) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902909005

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSCOTT WILLIAM WAGNERCredential: DDS

Location Address9035 EAST 62ND STREET SOUTHTulsa, OK 74133

Mailing Address9035 E 62nd St SoTulsa, OK 74133 · (918) 622-3915 · Fax (918) 994-6870

Phone(918) 622-3915

Fax(918) 662-3922

Sole ProprietorNo

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJune 5, 2014

✔ NPI 1902909005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 5335

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.

9035 EAST 62ND STREET SOUTH, Tulsa, OK 74133

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Other Identifiers 1

Medicare ID-Type Unspecified974869OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Scott Wagner's NPI number?

The NPI number for Scott Wagner is 1902909005. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Scott Wagner located?

Scott Wagner practices at 9035 East 62nd Street South, Tulsa, OK 74133. The listed phone number is (918) 622-3915.

What is Scott Wagner's specialty?

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

What insurance does Scott 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 7 other insurers list Scott 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 Scott Wagner was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.