DR. WILLIAM SCOTT WAGNER (NPI# 1760535587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760535587 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM SCOTT WAGNER |
| Credential | D.M.D., P.A. |
| Practice Address |
1400 Marsh Landing Pkwy Suite 104 Jacksonville Beach FL 32250-2493 |
| Practice Telephone | 9048343737 |
| Practice Fax Number | 9047580545 |
| Mailing Telephone | 9048343737 |
| Mailing Fax Number | 9047580545 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN14961 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594963 | William Douglas Wagner | Counselor | 2139 Palm Ct, North Port, FL 34287-5724 | 2011-10-11 |
| 1497967947 | William A Wagner | General Practice | 2317 Elmwood Dr Se, Grand Rapids, MI 49506-4055 | 2007-05-05 |
| 1396882130 | William L Wagner | Chiropractor | 303 W Birnie St, Gaffney, SC 29341-2307 | 2007-01-31 |
| 1477603702 | William Claude Wagner | Dentist | 211 N Prairie St, Bloomington, IL 61701 | 2007-01-11 |
| 1255419511 | William Wagner | Family Medicine | 6214 Johnson St, Hollywood, FL 33024-5932 | 2006-11-02 |
| 1558384875 | William Wagner | Nurse Anesthetist, Certified Registered | 1710 Cheyenne Dr, Hillsborough, NC 27278-9500 | 2006-07-26 |
| 1871528455 | William Frederick Wagner | Anesthesiology | 1506 N Fant St, Anderson, SC 29621-4708 | 2006-07-11 |
| 1639130446 | William John Wagner | Family Medicine | 531 Broad St, Montoursville, PA 17754-2338 | 2006-03-31 |
| 1063473692 | William G Wagner | Radiology | 1601 N Taylor Dr, Sheboygan, WI 53081-1930 | 2006-03-31 |
| 1376519587 | William J Wagner | Emergency Medicine | N7426 County Road J, Plymouth, WI 53073-2741 | 2006-02-27 |
| Street Address |
1400 MARSH LANDING PKWY SUITE 104 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922552843 | Taylor Miksell | Physical Therapist | 1400 Marsh Landing Pkwy, 112, Jacksonville Beach, FL 32250-2493 | 2016-08-09 |
| 1568852010 | Eccella Smiles Pa | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2015-02-04 |
| 1891128435 | Kathryn Marie Wood | Physical Therapist | 1400 Marsh Landing Pkwy, Suite 112, Jacksonville Beach, FL 32250-2493 | 2013-08-19 |
| 1992148167 | Jennifer Skeeters Cronin | General Practice | 1400 Marsh Landing Pkwy, Suite 112, Jacksonville Beach, FL 32250-2493 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| 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 |
|---|---|---|---|---|
| 1164556676 | Javier Brito Dds Pa | Dentist | 520 Jacksonville Dr, Jacksonville Beach, FL 32250-3813 | 2007-03-15 |
| 1538211966 | Jon Christopher Williams | Dentist | 391 14th Ave S, Jacksonville Beach, FL 32250-4909 | 2007-01-17 |
| 1538230321 | Tracey B David | Dentist | 120 9th Ave N, Jacksonville Beach, FL 32250-7141 | 2006-11-13 |
| 1760553283 | Paul R Hinder | Dentist | 228 3rd Ave N, Suite 200, Jacksonville Beach, FL 32250-7013 | 2006-11-13 |
| 1194815357 | Robert S Soud Dds Pa | Dentist | 1541 The Greens Way, Jacksonville Beach, FL 32250-2449 | 2006-10-16 |
| 1134109317 | Michael H Kessler | Dentist | 220 3rd Ave S, Jacksonville Beach, FL 32250-6727 | 2006-01-22 |
| 1548263445 | Rick Kenneth Harrison | Dentist | 227 11th Ave S, Jacksonville Beach, FL 32250-6529 | 2005-05-24 |
| 1659855781 | Gentle Dentists Beaches, LLC | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250-6090 | 2018-09-25 |
| 1568852010 | Eccella Smiles Pa | Dentist | 1400 Marsh Landing Pkwy, Suite 104, Jacksonville Beach, FL 32250-2493 | 2015-02-04 |
| 1215131875 | Parker and Pennington Dentistry | Dentist | 1541 The Greens Way, Jacksonville Beach, FL 32250-2449 | 2007-06-14 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. WILLIAM SCOTT WAGNER.
| 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.