KENT WAGNER JR DDS PC


Address: 2045 Village Center Circle, Las Vegas, NV 89134
Phone: 7028785599

KENT WAGNER JR DDS PC (NPI# 1336157270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336157270
Entity Type Organization
Organization Name KENT WAGNER JR DDS PC
Practice Address 2045 Village Center Circle
Las Vegas
NV 89134
Practice Telephone 7028785599
Practice Fax Number 7028780173
Mailing Telephone 7028785599
Mailing Fax Number 7028780173
Enumeration Date 2006-08-04
Last Update Date 2020-08-22
Authorized Official Name RONALD KENT WAGNER JR. (DENTIST OWNER)
Authorized Official Telephone 7028785599
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 4799 NV Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
UNITED CONCORIDA PROVIDER 1779641 01

Office Location

Street Address 2045 VILLAGE CENTER CIRCLE
City LAS VEGAS
State NV
Zip Code 89134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851309793 Ronald Kent Wagner Jr. Dentist 2045 Village Center Circle, Las Vegas, NV 89134 2006-08-04
1609884543 Ronald Kent Wagner Dds PC Dentist 2045 Village Center Circle, Las Vegas, NV 89134 2006-08-04
1699783530 Ronald Kent Wagner Dentist 2045 Village Center Circle, Las Vegas, NV 89134 2006-08-04

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NPI Name Taxonomy Address Enumeration
1508345786 J'aime Nicole Macpherson Marriage & Family Therapist 9148 W Lake Mead Blvd, Ste. 316, Las Vegas, NV 89134 2018-08-09
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1346770120 Rizalyne May Abdelnour Dentist 9501 Hillwood Dr., Las Vegas, NV 89134 2017-06-14
1215465380 Erin Mattera Marriage & Family Therapist 9418 West Lake Mead Blvd, Las Vegas, NV 89134 2017-06-01
1871044636 Albert Khavkin, Ltd Pain Medicine 9329 Eagle Ridge Dr, Las Vegas, NV 89134 2016-10-17
1952647794 Auralcare Hearing Centers of America, LLC Clinic/Center 8568 Del Webb Blvd., Las Vegas, NV 89134 2012-12-26
1518247311 Proteus Therapeutic Solutions Inc Counselor 1813 Sierra Oaks Ln, Las Vegas, NV 89134 2011-08-24
1629357702 Jessica Robbins Marriage & Family Therapist 9402 W. Lake Mead Blvd, Kayenta Therapy Center, Las Vegas, NV 89134 2011-08-08
1447575659 Sara Pelton Marriage & Family Therapist 9418 W. Lake Mead Blvd., Las Vegas, NV 89134 2010-03-30
1205167517 James Joshua Greathouse Physical Therapist 1845 Village Center Cir, Las Vegas, NV 89134 2010-01-26
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831796226 Thompson Dental Pllc Dentist 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 2020-10-08
1083227458 Khurram Fahim Dentist 10965 Lavender Hill Dr Ste 120, Las Vegas, NV 89135-2951 2020-08-26
1104437532 Sean Truong Dentist 9636 Sweet Palm Ct, Las Vegas, NV 89178-8279 2020-08-10
1518585785 Jaclyn Richardson Dentist 45 E Silverado Ranch Blvd Ste 100, Las Vegas, NV 89183-3480 2020-07-14
1588283592 Hyungbin Lee Dentist 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106-4124 2020-04-09
1205478732 Gb Dental, LLC Dentist 6121 W Lake Mead Blvd Ste 115, Las Vegas, NV 89108-2737 2019-10-16
1851946313 Dae D Hahm Dentist 10741 Dobbs Ave, Las Vegas, NV 89166-5112 2019-08-01
1891349239 Greta De Fatima Barba Dentist 3375 E Tropicana Ave Ste F8, Las Vegas, NV 89121-7357 2019-07-24
1316590755 Kelly Harris Dentist 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 2019-07-23
1386205045 Alexis Grace Desilva Dentist 8275 S Eastern Ave Ste 101, Las Vegas, NV 89123-2543 2019-06-24
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Competitor

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City LAS VEGAS
Zip Code 89134

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Dataset Information

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.

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