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

Dr. Robert Frederick Wagner, DMD

Individual provider General Practice Dentistry · NPI 1164599700

Dr. Robert Frederick Wagner, DMD is a General Practice Dentistry in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
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

2803 NE Everett St
Portland, OR 97232-3246
Phone: (503) 239-5115
Fax: (503) 231-6480
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7549 (OR)

Record details

NPI number1164599700
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2803 Ne Everett St, Portland, OR 97232-3246

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