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Contact Information

ROBERT H WAGNER FAMILY DENTIST S.C.
2830 CURRY COURT
SUITE 1
GREEN BAY, WI54311
 Phone: 920-432-7230
 Fax: 920-432-6948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ROBERT H WAGNER FAMILY DENTIST SC · (Female)

NPI # 1124670898
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2019
Last updated 07/12/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 33487700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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