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

Dr. Robert Fredrick Wagner Jr., DDS

Individual provider General Practice Dentistry · NPI 1639498553

Dr. Robert Fredrick Wagner Jr., DDS is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
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

9616 Beauclerc Bluff Rd
Jacksonville, FL 32257-5703
Phone: (904) 731-4742
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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 DN06501 (FL)

Record details

NPI number1639498553
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 18, 2010
Last updated in NPPESMay 18, 2010
Mailing address9616 Beauclerc Bluff Rd, Jacksonville, FL 32257-5703

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