Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. William Scott Wagner, DMD, PA

Individual provider General Practice Dentistry · NPI 1760535587

Dr. William Scott Wagner, DMD, PA is a General Practice Dentistry in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1400 Marsh Landing Pkwy Ste 104
Jacksonville Beach, FL 32250-2493
Phone: (904) 834-3737
Fax: (904) 758-0545
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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 DN14961 (FL)

Record details

NPI number1760535587
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PA
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESMarch 28, 2014

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