Dr. Spencer B Wagner, DMD
Dr. Spencer B Wagner, DMD is a Dentist in Provo, Utah. Licensed in South Carolina and Utah. Registered with an NPI since 2008.
- Licensed in
- SC, UT
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
2520 N University Ave Ste 101Provo, UT 84604-3804
Phone: (801) 426-6255
Fax: (801) 224-2966
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 3192 (SC) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 6026130 (UT) |
Record details
| NPI number | 1578732467 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | February 25, 2008 |
| Last updated in NPPES | January 4, 2013 |
| Mailing address | 2520 N University Ave, Suite 101, Provo, UT 84604-3804 |
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