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

Jon Dagley Wagner, MDDDS

Individual provider Plastic Surgery Physician · NPI 1154338101

Jon Dagley Wagner, MDDDS is a Plastic Surgery Physician in Albuquerque, New Mexico. Licensed in New Mexico, New York and Texas. Registered with an NPI since 2006.

Licensed in
NM, NY, TX
In the registry since
2006
Specialties on file
4

Practice location Address checks out

10000 Coors Byp NW Ste G-218
Albuquerque, NM 87114-4040
Phone: (505) 242-4867
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DD3842 (NM)
Plastic Surgery Physician Taxonomy 208200000X · Licence 95-367 (TX)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 28634 (TX)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 055441-1 (NY)

Record details

NPI number1154338101
Entity typeIndividual (Type 1)
GenderMale
Credentials MDDDS
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESApril 4, 2013
Mailing address10000 Coors Byp Nw, Suite G-218, Albuquerque, NM 87114-4040

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