DR. DALE F. WAGNER (NPI# 1184846933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184846933 |
| Entity Type | Individual |
| Full Name | DR. DALE F. WAGNER |
| Credential | D.D.S. |
| Practice Address |
11506 Broadway Whittier CA 90601-3105 |
| Practice Telephone | 5626958718 |
| Practice Fax Number | 5626924006 |
| Mailing Telephone | 5626958718 |
| Mailing Fax Number | 5626924006 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26242 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DELTA DENTAL PROVIDER # | 226242 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003932658 | Dale Ann Wagner | Counselor | 1911 Williams Dr Ste 150, Oxnard, CA 93036-2612 | 2007-03-22 |
| Street Address |
11506 BROADWAY |
| City | WHITTIER |
| State | CA |
| Zip Code | 90601-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043530736 | Thomas R Gonzales, D.d.s. | Durable Medical Equipment & Medical Supplies | 11506 Broadway, Whittier, CA 90601-3105 | 2010-06-04 |
| 1649462268 | Yongho Kevin Kang | Dentist | 11506 Broadway, Whittier, CA 90601-3105 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672557 | Aseneth Calvillo Martinez | Specialist/Technologist | 13203 Hadley St., Suite 203, Whittier, CA 90601 | 2019-01-07 |
| 1255703732 | Russell Muir | Specialist/Technologist | 3600 Workman Mill Rd, Whittier, CA 90601 | 2015-10-23 |
| 1457795544 | Shahenaz Kamal Ahmed | Dentist | 12826, Philadelphia St., Suite #b, Whittier, CA 90601 | 2013-04-19 |
| 1730489014 | Theodore A Tanabe Dds A Professional Corporation | Clinic/Center | 13203 Hadley Street, Suite 101, Whittier, CA 90601 | 2010-11-02 |
| 1447489810 | Caroline Sambrano | Specialist/Technologist | 6318 Hoover, Apt. A, Whittier, CA 90601 | 2009-07-07 |
| 1215178520 | Healthways Medical Group, Inc. | General Practice | 6518 Greenleaf Ave., #25, Whittier, CA 90601 | 2009-03-16 |
| 1245496272 | Joyce Lester Welsh | Marriage & Family Therapist | 13006 Philadelphia, Suite #601, Whittier, CA 90601 | 2008-07-30 |
| 1285828657 | Marlene Kamal Salib | Dentist | 6742 Greenleaf Ave, #300, Whittier, CA 90601 | 2007-08-29 |
| 1740401785 | Adrienne Ly | Chiropractor | 13019 Bailey Ave., Ste. F, Whittier, CA 90601 | 2007-05-01 |
| 1831223189 | Audra J Martin | Marriage & Family Therapist | 6737 Bright Avenue, Suite 101, Whittier, CA 90601 | 2007-03-16 |
| Find all providers in zip 90601 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366086191 | Elgrichi Harouni Dental Corp | Dentist | 15111 Whittier Blvd Ste 101-a, Whittier, CA 90603-2136 | 2019-11-05 |
| 1497248116 | Ra Amador Dental Group Dds.inc. | Dentist | 14302 Telegraph Rd, Whittier, CA 90604-2905 | 2018-06-07 |
| 1811345671 | Tiffany Anwhay Tsui | Dentist | 9209 Colima Rd Ste 2400, Whittier, CA 90605-1817 | 2016-06-01 |
| 1255764742 | Charlanne Holman | Dentist | 8937 La Entrada Drive, Whittier, CA 90605 | 2013-08-20 |
| 1457795544 | Shahenaz Kamal Ahmed | Dentist | 12826, Philadelphia St., Suite #b, Whittier, CA 90601 | 2013-04-19 |
| 1992042113 | Sahabi-tafti Dental Corporation | Dentist | 14322 Telegraph Rd, Unit A, Whittier, CA 90604-2905 | 2013-01-08 |
| 1346584331 | Hector J Soria | Dentist | 11048 Washington Blvd, Whittier, CA 90606-3006 | 2012-11-15 |
| 1003177155 | Sherry Baek | Dentist | 16406 E Whittier Bl, Whittier, CA 90603-6593 | 2012-06-05 |
| 1437420403 | Sahabi and Saffari-nazari Dental Corporation | Dentist | 14322 Telegraph Road, Whittier, CA 90604 | 2012-01-23 |
| 1437301124 | Luz Antas Gordo | Dentist | 7313 Greenleaf Ave, Whittier, CA 90602-1621 | 2008-10-14 |
| Find all providers in WHITTIER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.