Jon Dagley Wagner, MD DDS in Albuquerque, NM - Dentist

Jon Dagley Wagner, MD DDS is a Dentist - Oral And Maxillofacial Surgery physician based in Albuquerque, New Mexico. Jon Dagley Wagner is licensed to practice in New Mexico (license number DD3842) and his current practice location is 10000 Coors Byp Nw, Suite G-218, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 242-4867.

NPI number for Jon Dagley Wagner is 1154338101 and his current mailing address is 10000 Coors Byp Nw, Suite G-218, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154338101.

Contact Information

	Jon Dagley Wagner, MD DDS
	10000 Coors Byp Nw, Suite G-218, Albuquerque, NM 87114-4040
	(505) 242-4867
	Not Available

Physician's Profile

Full Name	Jon Dagley Wagner
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	10000 Coors Byp Nw, Albuquerque, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1154338101
Provider Enumeration Date: 08/02/2006
Last Update Date: 04/04/2013

Medical Identifiers

Medical identifiers for Jon Dagley Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154338101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	95-367 (Texas)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DD3842 (New Mexico)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	28634 (Texas)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	055441-1 (New York)	Secondary

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. Jon Dagley 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 Address	Practice Location Address
Jon Dagley Wagner, MD DDS 10000 Coors Byp Nw, Suite G-218, Albuquerque, NM 87114-4040 Ph: (505) 242-4867	Jon Dagley Wagner, MD DDS 10000 Coors Byp Nw, Suite G-218, Albuquerque, NM 87114-4040 Ph: (505) 242-4867

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Jon Dagley Wagner, MD DDS - Dentist in Albuquerque, NM