IndividualActive
Michael Wagner, DMD
NPI 1700446267 · Dentist · St George, UT
Provider details
- NPI number
- 1700446267
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 11331177-9922 (UT)
Specialties & taxonomies
Dental Providers
Practice location
754 S Main St Ste 1
St George, UT 84770-5510
Phone: (435) 674-9777
Approximate (ZIP-level) locationGet directions
Mailing address
664 Sweetspring Dr
Santa Clara, UT 84765-5469
Registry dates
- Enumerated
- 2019-06-17
- Last updated
- 2019-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.