IndividualActive
Dwight Bagley, DDS
NPI 1215034129 · Prosthodontics · Winston Salem, NC
Provider details
- NPI number
- 1215034129
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 7210 (NC)
Practice location
201 Charlois Blvd
Winston Salem, NC 27103-1507
Phone: (336) 718-1902
Mailing address
4555 Brimmer Place Dr
Kernersville, NC 27284-7798
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.