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

Dr. Jonathon Wagner, DDS

Individual provider General Practice Dentistry · NPI 1063505477

Dr. Jonathon Wagner, DDS is a General Practice Dentistry in Santa Cruz, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1017 Mission St
Santa Cruz, CA 95060
Phone: (831) 426-3535
Fax: (831) 454-0330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 50395 (CA)

Record details

NPI number1063505477
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESJuly 8, 2007

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