OrganizationActive
Spencer B Wagner DMD PC
NPI 1205897378 · Dental Clinic/Center · Fairfax, SC
Spencer B Wagner DMD PC is a Dental Clinic/Center organization in Fairfax, SC (NPI 1205897378).
Provider details
- NPI number
- 1205897378
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Spencer Wagner, Dentist(803) 632-3301
- License
- 3192 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1987 Allendale Fairfax Hwy
Fairfax, SC 29827-9137
Phone: (803) 632-3301
Fax: (803) 632-1240
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 830
Fairfax, SC 29827-0830
Registry dates
- Enumerated
- 2006-03-29
- Last updated
- 2008-10-07
Frequently asked questions
- What is Spencer B Wagner DMD PC's NPI number?
- Spencer B Wagner DMD PC's National Provider Identifier (NPI) is 1205897378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spencer B Wagner DMD PC?
- Spencer B Wagner DMD PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spencer B Wagner DMD PC located?
- Spencer B Wagner DMD PC's practice location on file with NPPES is 1987 Allendale Fairfax Hwy, Fairfax, SC 29827-9137.
- What is Spencer B Wagner DMD PC's phone number?
- The practice phone number listed in the NPPES registry for Spencer B Wagner DMD PC is (803) 632-3301.
- Who is the authorized official for Spencer B Wagner DMD PC?
- The authorized official listed on Spencer B Wagner DMD PC's NPPES record is Spencer Wagner, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spencer B Wagner DMD PC's NPI active?
- Yes — Spencer B Wagner DMD PC's NPI (1205897378) is active in the NPPES registry as of the last update on 2008-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.