Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528096492 Individual Practitioner Male Practitioner

Dr. Daniel Jay Wagner , MD

Dentist • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Wagner, MD is a registered healthcare professional specializing in Dentist in Mobile, AL. Practice services are available at 1303 DR MARTIN L KING JR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1303 Dr Martin L King Jr Ave

Mobile, AL 366035341

Telephone 2514324112
Fax 2519644012
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mobile, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
54 Specialists

Practicing in Mobile, AL (894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AL LNO3646

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6314000180 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Nausheen Faruqi , MD

Internal Medicine

NPI 1033162623

Doctor of Medicine (M.D.)

NPI 1154434561

Doctor of Dental Medicine

Brandy Nicholson

Nurse Practitioner - Family

NPI 1265141782
Kelli Gillman

Nurse Practitioner

NPI 1295196251
NPI 1447295522

Doctor of Medicine (M.D.)

NPI 1487747945

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1303 DR MARTIN L KING JR AVE, MOBILE, AL 366035341 (Tel: 2514324112)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2048, MOBILE, AL 366522048 (Tel: 2514324117)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL WAGNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #LNO3646 in AL)

🟢
Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528096492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 2048

Mobile, AL 366522048

Phone: 2514324117

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.