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

Dr. Omar Ricardo Wagner, DDS

Individual provider General Practice Dentistry · NPI 1164298980

Dr. Omar Ricardo Wagner, DDS is a General Practice Dentistry in Visalia, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

518 N Court St Ste C
Visalia, CA 93291-4920
Phone: (559) 732-2394
Fax: (559) 732-5749
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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 108756 (CA)

Record details

NPI number1164298980
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 1, 2023
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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