Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas J Wagner, DDS, LLC

Organization Dentist · NPI 1306231717

Nicholas J Wagner, DDS, LLC is a Dentist in Boonville, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

800 Ofc Park DR
Boonville, IN 47601-8601
Phone: (812) 897-4889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12011465A (IN)

Record details

NPI number1306231717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Wagner — Dentist/Owner · (812) 897-4889
Other names Warrick Park Dental
NPI enumeratedApril 2, 2015
Last updated in NPPESApril 2, 2015
Mailing address800 Office Park Dr, Boonville, IN 47601-8601

Other providers in Boonville