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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 S.C.

NPI # 1124670898
LBN Legal business name ROBERT H WAGNER FAMILY DENTIST S.C.
Authorized official ROBERT WAGNER - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2019
Last updated 07/12/2019 - About 7 years ago
Identifiers
WI Medicaid 33487700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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