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WAGNER FAMILY DENTISTRY
NPI 1932499035
Dentist - General Practice in Portland, OR

Active since April 11, 2011
2803 NE EVERETT ST, PORTLAND, OR 97232(503) 239-5115(503) 231-6480 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wagner Family Dentistry NPPES

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

WAGNER FAMILY DENTISTRY (NPI 1932499035) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since April 2011. The organization lists Robert Frederick Wagner, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1932499035
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWAGNER FAMILY DENTISTRY
Location Address2803 NE EVERETT STPortland, OR 97232-3246
Mailing Address2803 Ne Everett StPortland, OR 97232-3246 · (503) 239-5115 · Fax (503) 231-6480
Phone(503) 239-5115
Fax(503) 231-6480
Organization SubpartNo
Authorized OfficialRobert Frederick WagnerOwner/president · (503) 239-5115
Enumeration DateApril 11, 2011
Last NPPES UpdateJune 8, 2011
✔ NPI 1932499035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D7549
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.

2803 NE EVERETT ST, Portland, OR 97232
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Other Identifiers 1

Medicare NSC6516320001OR

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.

DR. ROBERT FREDERICK WAGNER D.M.D.
Dentist (General Practice)
2803 NE EVERETT ST
PORTLAND, OR 97232
Multnomah County (503) 239-5115

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 Wagner Family Dentistry's NPI number?

The NPI number for Wagner Family Dentistry is 1932499035. It was assigned to this organization in the NPPES registry on April 11, 2011.

Where is Wagner Family Dentistry located?

Wagner Family Dentistry is located at 2803 NE Everett St, Portland, OR 97232. The listed phone number is (503) 239-5115.

What is Wagner Family Dentistry'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 Wagner Family Dentistry was last updated on June 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.