MEDICARE: RONALD KENT WAGNER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2113	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	539358	OTHER		UNITED CONCORDIA PROV ID

General Provider Information

NPI Number	:	1699783530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD KENT WAGNER DDS

Provider Business Mailing Address
First Line	:	2045 VILLAGE CENTER CIRCLE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134
Country	:	US
Telephone Number	:	702-878-5599
Fax Number	:	702-878-0173

Provider Business Practice Location Address
First Line	:	2045 VILLAGE CENTER CIRCLE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134
Country	:	US
Telephone Number	:	702-878-5599
Fax Number	:	702-878-0173

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1659213213 — MY CHOICE HEALTHCARE
Practice Location Address:

9320 SUN CITY BLVD STE 103
LAS VEGAS, NV
89134-1708

Practice Phone: 725-326-2930
Practice Fax: 725-587-2864

1861333551 — MOISES JOSHUA RENTERIA
Practice Location Address:

1707 VILLAGE CENTER CIR STE 140
LAS VEGAS, NV
89134-0577

Practice Phone: 718-215-5311
Practice Fax:

1952255275 — THOUSAND BRANCHES BUSINESS SUPPORT SERVICES LLC
Practice Location Address:

1645 VILLAGE CENTER CIR STE 150
LAS VEGAS, NV
89134-6371

Practice Phone: 725-444-5745
Practice Fax:

1669479879 — ATTENTIVE HOME HEALTH CARE INC
Practice Location Address:

8542 DEL WEBB BLVD
LAS VEGAS, NV
89134-8676

Practice Phone: 702-256-9000
Practice Fax: 702-256-6285

1790784452 — DR. MARY SUSAN EMERSON APRN, PHD
Practice Location Address:

2616 TUMBLE BROOK DR
LAS VEGAS, NV
89134-7869

Practice Phone: 918-606-0505
Practice Fax:

1285636662 — BETHEL SINE M.D.
Practice Location Address:

9505 HILLWOOD DR , SUITE 100
LAS VEGAS, NV
89134-0506

Practice Phone: 702-304-2144
Practice Fax: 702-304-2147

1457347304 — SANA SAFAEI M.D.
Practice Location Address:

2035 VILLAGE CENTER CIR STE 110
LAS VEGAS, NV
89134-6251

Practice Phone: 702-228-7117
Practice Fax: 702-804-5365

Directions to “ RONALD KENT WAGNER DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.