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

Travis Wayne Wagner, DMD

Individual provider General Practice Dentistry · NPI 1508358953

Travis Wayne Wagner, DMD is a General Practice Dentistry in Beckley, West Virginia. Licensed in Maryland, Pennsylvania and West Virginia. Registered with an NPI since 2018.

Licensed in
MD, PA, WV
In the registry since
2018
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

200 Veterans Ave
Beckley, WV 25801-6444
Phone: (304) 255-2121
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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 4340 (WV)
General Practice Dentistry Taxonomy 1223G0001X · Licence DS042611 (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 17003 (MD)

Record details

NPI number1508358953
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address200 Veterans Ave, Beckley, WV 25801-6444

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