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

Dr. Mark Vincent Wagner, DMD

Individual provider Dentist · NPI 1528419074

Dr. Mark Vincent Wagner, DMD is a Dentist in Highland Village, Texas. Licensed in New Mexico and Texas. Registered with an NPI since 2016.

Licensed in
NM, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2600 Village Pkwy Ste 120
Highland Village, TX 75077-3285
Phone: (469) 444-6500
Fax: (972) 317-0777
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 34961 (TX)
Dentist Taxonomy 122300000X · Licence DD4556 (NM)

Record details

NPI number1528419074
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address2600 Village Pkwy Ste 120, Highland Village, TX 75077-3285

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