DR. ROBERT JACOB WAGNER III (NPI# 1558988816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558988816 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JACOB WAGNER III |
| Credential | DDS |
| Practice Address |
328 Commercial Rd Ste 104 San Bernardino CA 92408-3766 |
| Practice Telephone | 9097999988 |
| Mailing Telephone | 9097999988 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10007225 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194266734 | Robert Wagner | Contractor | 15 Misery Mountain Ln, Croydon, NH 03773-6617 | 2017-03-15 |
| 1639498553 | Robert Fredrick Wagner Jr. | Dentist | 9616 Beauclerc Bluff Rd, Jacksonville, FL 32257-5703 | 2010-05-18 |
| 1821225160 | Robert Morris Wagner | Obstetrics & Gynecology | 1004 Erie Dr, Buffalo, WY 82834-2587 | 2009-06-13 |
| 1982875852 | Robert Michael Wagner | Psychologist | 160 East Kellogg Blvd., Suite 8500, St. Paul, MN 55101 | 2008-03-18 |
| 1467673111 | Robert Wagner | Counselor | 3837 N.w. 23rd Street, Oklahoma City, OK 73112 | 2007-05-01 |
| 1558499079 | Robert Wagner | Preventive Medicine | 2850 7th St Ste 100, Berkeley, CA 94710-2703 | 2007-02-28 |
| 1679600944 | Robert Linton Wagner | Dentist | 1402 Argillite Road, Flatwoods, KY 41139 | 2007-02-27 |
| 1932253036 | Robert Eugene Wagner | Chiropractor | 10324 Canyon Rd East, #105, Puyallup, WA 98373 | 2007-01-23 |
| 1164599700 | Robert Frederick Wagner | Dentist | 2803 Ne Everett St, Portland, OR 97232-3246 | 2006-11-29 |
| 1306925243 | Robert P Wagner | Dentist | 1216 16th St W, Suite 34, Billings, MT 59102-4100 | 2006-11-02 |
| Street Address |
328 COMMERCIAL RD STE 104 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700309184 | Eric Williamson | Dentist | 328 Commercial Rd Ste 104, San Bernardino, CA 92408-3766 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| 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 |
|---|---|---|---|---|
| 1124639901 | Arutyun Mkrtchyan D.d.s. Inc | Dentist | 1655 N Mount Vernon Ave Unit B, San Bernardino, CA 92411-1427 | 2020-08-13 |
| 1316555261 | Ryan Andrew Stitzinger | Dentist | 234 N D St, San Bernardino, CA 92401-1702 | 2020-07-16 |
| 1417506932 | Rincon Dds and Associates Inc | Dentist | 1078 E Hospitality Ln, San Bernardino, CA 92408-2878 | 2019-09-06 |
| 1669036117 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 164 W Hospitality Ln Ste 127, San Bernardino, CA 92408-3316 | 2019-04-30 |
| 1609358845 | Arteaga Dental Corporation | Dentist | 494 S Rancho Ave, San Bernardino, CA 92410-2144 | 2018-09-04 |
| 1295213239 | Feldkamp Cal Select Dental Group, Inc. | Dentist | 164 W Hospitality Ln # 107, San Bernardino, CA 92408-3316 | 2018-08-01 |
| 1508370487 | Katy Chou Dds Inc | Dentist | 1799 N Waterman Ave Ste C, San Bernardino, CA 92404-5107 | 2017-11-29 |
| 1700309184 | Eric Williamson | Dentist | 328 Commercial Rd Ste 104, San Bernardino, CA 92408-3766 | 2017-07-18 |
| 1841741360 | Esther Song | Dentist | 2672 S Carl Pl, San Bernardino, CA 92408-4182 | 2016-10-19 |
| 1578916029 | Alexander Reimann | Dentist | 2665 Annapolis Cir, San Bernardino, CA 92408-4133 | 2016-07-20 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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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.