Dr Tara Marie Wagner, DDS - Dentist in White Bear Lake, MN

Dr Tara Marie Wagner, DDS is a Dentist based in White Bear Lake, Minnesota. Dr Tara Marie Wagner is licensed to practice in Minnesota (license number D11791) and her current practice location is 4700 White Bear Parkway, White Bear Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 762-7677.

NPI number for Dr Tara Marie Wagner is 1396840559 and her current mailing address is 1134 Creekside Circle, Stillwater, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396840559.

Contact Information

Dr Tara Marie Wagner, DDS
4700 White Bear Parkway,
White Bear Lake, MN 55110-3336
(651) 762-7677
(651) 762-1861



Healthcare Provider's Profile

Full NameDr Tara Marie Wagner
GenderFemale
SpecialityDentist
Location4700 White Bear Parkway, White Bear Lake, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396840559
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Tara Marie Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396840559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D11791 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tara Marie Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tara Marie Wagner, DDS
1134 Creekside Circle,
Stillwater, MN 55082

Ph: (651) 351-2987
Dr Tara Marie Wagner, DDS
4700 White Bear Parkway,
White Bear Lake, MN 55110-3336

Ph: (651) 762-7677

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› Verified 7 days ago


Dentist in White Bear Lake, MN

Dr. Thomas E Grzeskowiak, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1430 Highway 96, White Bear Lake, MN 55110
Phone: 651-426-9502    Fax: 651-653-2158
Dr. Charles Francis Kaminski Jr., DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4754 Washington Square, White Bear Lake, MN 55110
Phone: 651-426-9499    Fax: 651-429-6255
Scott Arthur Kron, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4706 Banning Ave, White Bear Lake, MN 55110
Phone: 651-429-3348    Fax: 651-429-3945
Dr. Kent C Gulden, D.D.S. P.A.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4437 Lake Ave S, White Bear Lake, MN 55110
Phone: 651-429-5265    Fax: 651-429-9630
Dr. Olga Ivett Castro, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4801 Highway 61 N Ste 200, White Bear Lake, MN 55110
Phone: 651-429-3535    
Jordan Dittberner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4700 White Bear Pkwy, White Bear Lake, MN 55110
Phone: 651-762-7677    
Dr. Wendy L. Sydlewski, DDS, MD.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2126 5th St, White Bear Lake, MN 55110
Phone: 651-426-9986    

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