IndividualActive
David Wagner, D.D.S.
NPI 1841539905 · Prosthodontics · Fenton, MI
Provider details
- NPI number
- 1841539905
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS038617 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
500 N Leroy St
Fenton, MI 48430-2734
Phone: (810) 629-8272
Fax: (810) 629-3218
Approximate (ZIP-level) locationGet directions
Mailing address
201s Michigan Ave
Big Rapids, MI 49307-1809
Registry dates
- Enumerated
- 2013-02-11
- Last updated
- 2015-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.