MARK WAGNER (NPI# 1265863112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265863112 |
| Entity Type | Individual |
| Full Name | MARK WAGNER |
| Practice Address |
24 Old Plantation Way Pikesville MD 21208-6375 |
| Practice Telephone | 4106536886 |
| Practice Fax Number | 4106536986 |
| Mailing Telephone | 4106536886 |
| Mailing Fax Number | 4106536986 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14948 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528419074 | Mark Vincent Wagner | Dentist | 2600 Village Pkwy Ste 120, Highland Village, TX 75077-3285 | 2016-06-27 |
| 1467845487 | Mark Wagner | Health Educator | 600 Cornell Ave, Hagerstown, MD 21742-4500 | 2015-03-16 |
| 1881967016 | Mark Allen Wagner | Physical Therapist | 4046 Arezzo Dr, Longmont, CO 80503-4157 | 2012-02-19 |
| 1780737924 | Mark Wagner | Psychologist | 23 Pokonoket Ave, Sudbury, MA 01776-2320 | 2007-01-19 |
| 1033202502 | Mark Elliot Wagner | Family Medicine | 623 North 5th Street, Reading, PA 19601 | 2006-10-02 |
| 1700821709 | Mark S Wagner | Psychiatry & Neurology | 515 Cabrillo Park Dr, Suite 120, Santa Ana, CA 92701-5016 | 2006-06-17 |
| 1649211764 | Mark David Wagner | Family Medicine | 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 | 2006-06-09 |
| 1336130087 | Mark Andrew Wagner | Radiology | 2740 M St, Merced, CA 95340-2813 | 2005-11-02 |
| 1992358741 | Mark Wagner | Counselor | 540 Riverside Dr Ste 8, Salisbury, MD 21801-5352 | 2019-07-22 |
| 1134488752 | Mark E Wagner | Counselor | 900 W Norfolk Ave, Norfolk, NE 68701-5006 | 2012-05-16 |
| Street Address |
24 OLD PLANTATION WAY |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-6375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821491457 | Michael Rosen | Dentist | 17 Raisin Tree Cir, Pikesville, MD 21208-1340 | 2014-09-26 |
| 1306187026 | Brenda J Faulk | Dentist | 31 Walker Avenue, Suite 110, Pikesville, MD 21208 | 2013-03-05 |
| 1780812057 | Aron D Turner | Dentist | 1777 Reisterstown Rd # 202west, Pikesville, MD 21208-1306 | 2009-06-25 |
| 1235356932 | Robin Lee Woods | Dentist | 7933 Stevenson Road, Pikesville, MD 21208-3028 | 2007-04-20 |
| 1003039561 | Bruce Stephen Barr | Dentist | 1864c Reisterstown Road, Woodhouse Square Center, Pikesville, MD 21208 | 2007-04-11 |
| 1003969940 | Faulk Dental Associates, P.a. | Dentist | 31 Walker Avenue, Suite 110, Pikesville, MD 21208 | 2007-01-22 |
| 1003833518 | James Gregory Gordon | Dentist | 3635 Old Court Road, Suite 505, Pikesville, MD 21208 | 2006-07-17 |
| 1568813590 | Jennifer Frida Ouazana | Dentist | 4 Sudbrook Ln, Pikesville, MD 21208-4117 | 2016-06-30 |
| 1386027514 | En Dental, LLC | Dentist | 3635 Old Court Rd, Ste. 510, Pikesville, MD 21208-3915 | 2015-07-07 |
| 1912303769 | Mishpacha Dental | Dentist | 3635 Old Court Rd, Ste. 510, Pikesville, MD 21208-3915 | 2014-11-06 |
| Find all providers in PIKESVILLE | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.