JON WAGNER, MD DDS
Oral and Maxillofacial Surgery (Dentist) · ALBUQUERQUE, NM
Individual Active Opted out of Medicare NPI 1154338101
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | DD3842 | NM |
| Plastic Surgery Physician | 208200000X | 95-367 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 28634 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 055441-1 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Dentist), effective 2019-07-23 through 2027-07-23.
Other Oral and Maxillofacial Surgery (Dentist) providers in New Mexico
- NPI 1043967813
- NPI 1205062858
- NPI 1750340147
- NPI 1215143862
- NPI 1033369749
- NPI 1447324280
- NPI 1063470904
- NPI 1417934480
See all Oral and Maxillofacial Surgery (Dentist) providers in New Mexico →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.