SCOTT WILLIAM WAGNER (NPI# 1902909005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902909005 |
| Entity Type | Individual |
| Full Name | SCOTT WILLIAM WAGNER |
| Credential | DDS |
| Practice Address |
9035 East 62nd Street South Tulsa OK 74133 |
| Mailing Address |
9035 E 62nd St So Tulsa OK 74133 |
| Practice Telephone | 9186223915 |
| Practice Fax Number | 9186623922 |
| Mailing Telephone | 9186223915 |
| Mailing Fax Number | 9189946870 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5335 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113316 | Scott D Wagner I | Counselor | 319 E Tabor Ave Apt 15319, Fairfield, CA 94533-3955 | 2020-04-24 |
| 1932558822 | Scott Wagner | Pharmacist | 1018 Rosemont, Carmel, IN 46032-7709 | 2016-06-10 |
| 1124492350 | Scott Wagner | Speech-Language Pathologist | 5045 Kennelwood Dr, Saint Louis, MO 63129-2424 | 2015-11-27 |
| 1841514593 | Scott Davis Wagner | Pharmacist | 25059 State Route 11, Hallstead Plaza, Hallstead, PA 18822-8831 | 2010-03-24 |
| 1053340588 | Scott Brian Wagner | Chiropractor | 2109 India Rd, Charlottesville, VA 22901-2886 | 2006-06-30 |
| 1356801237 | Scott Forbes Wagner | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-03-25 |
| 1811279995 | Scott Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| 1861703613 | Scott Wagner | Orthopaedic Surgery | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2010-06-27 |
| 1538486162 | Scott Allen Wagner | Occupational Therapist | 210 S 12th St, Bismarck, ND 58504-5622 | 2010-04-21 |
| 1841499258 | Scott John Wagner | Registered Nurse | 3537 S I-35 E, Suite 305, Denton, TX 76210-6800 | 2007-07-16 |
| Street Address |
9035 EAST 62ND STREET SOUTH |
| City | TULSA |
| State | OK |
| Zip Code | 74133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| 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 |
|---|---|---|---|---|
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1346801198 | Progressive Dental Care of Tulsa, Pllc | Dentist | 7614 E 91st St Ste 120, Tulsa, OK 74133-6047 | 2019-06-24 |
| 1295394211 | Hope Restorative and Cosmetic Dentistry | Dentist | 9445 S Mingo Rd Ste 120, Tulsa, OK 74133-5827 | 2019-06-12 |
| 1154988277 | Jeremy Ryan Archer | Dentist | 4606 E 67th St Ste 312, Tulsa, OK 74136-4950 | 2019-05-23 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1558852459 | Kyle Sikes | Dentist | 6565 S Yale Ave Ste 1104, Tulsa, OK 74136-8380 | 2018-05-25 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1114445285 | T-town Smiles, PC | Dentist | 6565 S Yale Ave # 1107, Tulsa, OK 74136-8327 | 2017-09-08 |
| 1235679440 | Tulsa Premier Dentistry, Pllc | Dentist | 7891 E 108th St Ste X4, Tulsa, OK 74133-7406 | 2017-03-07 |
| 1033571104 | Alexander D. Williams, D.d.s., P.C. | Dentist | 5510 E 41st St, Suite C, Tulsa, OK 74135-6009 | 2016-03-28 |
| Find all providers in TULSA | ||||
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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.