OrganizationActive
Nicholas J Wagner, DDS, LLC
NPI 1306231717 · Dentist · Boonville, IN
Nicholas J Wagner, DDS, LLC is a Dentist organization in Boonville, IN (NPI 1306231717).
Provider details
- NPI number
- 1306231717
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Nicholas Wagner, Dentist/Owner(812) 897-4889
- License
- 12011465A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
800 Office Park Dr
Boonville, IN 47601-8601
Phone: (812) 897-4889
Street-level locationGet directions
Mailing address
800 Office Park Dr
Boonville, IN 47601-8601
Other names (DBA / former)
- Doing business as
- Warrick Park Dental
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2015-04-02
Frequently asked questions
- What is Nicholas J Wagner, DDS, LLC's NPI number?
- Nicholas J Wagner, DDS, LLC's National Provider Identifier (NPI) is 1306231717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicholas J Wagner, DDS, LLC?
- Nicholas J Wagner, DDS, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Nicholas J Wagner, DDS, LLC located?
- Nicholas J Wagner, DDS, LLC's practice location on file with NPPES is 800 Office Park Dr, Boonville, IN 47601-8601.
- What is Nicholas J Wagner, DDS, LLC's phone number?
- The practice phone number listed in the NPPES registry for Nicholas J Wagner, DDS, LLC is (812) 897-4889.
- Who is the authorized official for Nicholas J Wagner, DDS, LLC?
- The authorized official listed on Nicholas J Wagner, DDS, LLC's NPPES record is Nicholas Wagner, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicholas J Wagner, DDS, LLC's NPI active?
- Yes — Nicholas J Wagner, DDS, LLC's NPI (1306231717) is active in the NPPES registry as of the last update on 2015-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.