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

Dr. Tara Marie Wagner, DDS

Individual provider Dentist · NPI 1396840559

Dr. Tara Marie Wagner, DDS is a Dentist in White Bear Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

4700 White Bear Pkwy
White Bear Lake, MN 55110-3336
Phone: (651) 762-7677
Fax: (651) 762-1861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D11791 (MN)

Record details

NPI number1396840559
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJuly 8, 2007

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