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

Rudolph M. Wagner, DMD, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1679146435

Rudolph M. Wagner, DMD, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Palm Harbor, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2595 Tampa Rd Ste I
Palm Harbor, FL 34684-3131
Phone: (727) 785-8847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1679146435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rudolph Wagner — Orthodontist/ Managing Member · (727) 785-8847
NPI enumeratedJuly 20, 2021
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address2595 Tampa Rd Ste I, Palm Harbor, FL 34684-3131

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