Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730212564 Individual Practitioner Male Practitioner

Dr. Chad L Wagstaff , DDS

Dentist - General Practice • Eden, UT

Professional Overview & Biography Verified Profile Summary

Dr. Chad Wagstaff, DDS is a registered healthcare professional specializing in Dentist - General Practice in Eden, UT. Practice services are available at 2640 N HIGHWAY 162 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2640 N Highway 162

Eden, UT 843109745

Telephone 8017451100
Associated Practice Facility / Clinic
🏢 Clw Dds Pllc Facility NPI 1871626630

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eden, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Eden, UT (1388 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-025276

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 06, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2014

Registered at 2640 N HIGHWAY 162, EDEN, UT 843109745 (Tel: 8017451100)

📍
Updated Business Mailing Address November 06, 2014

Registered at PO BOX 805, 2640 N HIGHWAY 162, EDEN, UT 843100805

👤
Provider Name / Credentials Updated November 06, 2014

Recorded as CHAD WAGSTAFF, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2014

Dentist (License #019-025276 in IL)

🟢
Initial NPI Registration & Enumeration March 13, 2007

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: 1730212564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2007
Last Update: November 06, 2014
Sole Proprietor: No

Mailing Address

Po Box 805, 2640 N Highway 162

Eden, UT 843100805

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.