DR. BRYAN L WAGNER (NPI# 1629621545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629621545 |
| Entity Type | Individual |
| Full Name | DR. BRYAN L WAGNER |
| Credential | D.M.D. |
| Practice Address |
8300 Hough Ave Cleveland OH 44103-4247 |
| Mailing Address |
4800 Payne Ave Cleveland OH 44103-2443 |
| Practice Telephone | 2162317700 |
| Practice Fax Number | 2162317920 |
| Mailing Telephone | 2162317700 |
| Mailing Fax Number | 2162313828 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.025923 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871016295 | Bryan Wagner | Specialist/Technologist | 1045 Riverside Ave, 190, Jacksonville, FL 32201 | 2017-07-18 |
| Street Address |
8300 HOUGH AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677809 | Idya Praveen Kumar | Internal Medicine | 8300 Hough Ave, Cleveland, OH 44103 | 2005-05-23 |
| 1679186605 | Sara Marie Chuirazzi | Student in an Organized Health Care Education/Training Program | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2020-08-28 |
| 1619587243 | Kathleen Marie Alto | Psychologist | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2020-08-07 |
| 1730732652 | Julianne Lynn Janosko | Nurse Practitioner | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2019-07-19 |
| 1912460627 | Brittney Kittrell | Dentist | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2019-04-09 |
| 1992271951 | Bronwyn Dworkin | Advanced Practice Midwife | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-10-17 |
| 1386110294 | Kathryn Risch | Nurse Practitioner | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-10-17 |
| 1790262848 | Brittany Cermak | Dietitian, Registered | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-07-22 |
| 1265928741 | Brittni Montgomery | Social Worker | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2018-07-08 |
| 1942726625 | Jessica Ann Yoder | Counselor | 8300 Hough Ave, Cleveland, OH 44103-4247 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619921 | Cleveland Urgent Care LLC | Clinic/Center | 1956 E 79th Street, Cleveland, OH 44103 | 2019-09-26 |
| 1598325201 | Eliza Bryant Village | Day Training, Developmentally Disabled Services | 7201 Wade Park Ave., Cleaveland, OH 44103 | 2019-06-14 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1508340472 | Melody J Williams | Adult Companion | 7820 Euclid Ave, Cleveland, OH 44103 | 2018-09-18 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1336637453 | Heather Tully | Registered Nurse | 6700 Euclid Ave, Cleveland, OH 44103 | 2018-04-24 |
| 1033611355 | Circle Health Services | Clinic/Center | 4400 Euclid Avenue, Cleveland, OH 44103 | 2018-03-02 |
| 1922524032 | Carolyn Nicholas | Counselor | 1834 E 55th Street, Cleveland, OH 44103 | 2017-08-21 |
| 1619493764 | Horizon Educational Services Inc | Local Education Agency (LEA) | 6000 South Marginal, Cleveland, OH 44103 | 2017-08-21 |
| 1548783426 | Albert Pride Jr. | Counselor | 1804 East 55th Street, Cleveland, OH 44103 | 2017-07-21 |
| Find all providers in zip 44103 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049597 | Leila Saeed | Dentist | A2z Dental & Braces, Cleveland, TX 77327-1655 | 2020-09-30 |
| 1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
| 1568015881 | Garett Samarie Patterson | Dentist | 5350 Transportation Blvd Ste 8, Cleveland, OH 44125-5307 | 2019-07-17 |
| 1902468069 | Stephen Andrew Akin | Dentist | 166 Quillian St, Cleveland, GA 30528-1431 | 2019-06-28 |
| 1023572096 | Tennessee Dental Professionals, PC | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-01-24 |
| 1083185516 | Dental Professional Cleveland - Nouneh, Inc. | Dentist | 3269 Steelyard Dr, Cleveland, OH 44109-2381 | 2018-12-10 |
| 1730660770 | Dr Marino and Associates Inc | Dentist | 5716 Broadway Ave, Cleveland, OH 44127-1715 | 2018-08-28 |
| 1164924379 | Savitha Deepthi Yannam | Dentist | 13855 Superior Rd Apt 1309, Cleveland, OH 44118-1045 | 2018-03-03 |
| 1245745686 | Smiles for A Lifetime, Pa | Dentist | 117 E Houston St, Cleveland, TX 77327-4509 | 2017-12-07 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| Find all providers in CLEVELAND | ||||
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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.