Wagner, Shancie Jenee

Wagner, Shancie Jenee is an individual health care provider with primary practice located at 2211 E Hartson Ave , Spokane WA 99202-4152. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Wagner, Shancie Jenee can be contacted via phone (509) 444-8200.

Contact Information

Primary practice address
2211 E Hartson Ave Spokane WA 99202-4152
Phone: (509) 444-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60294772 Washington
Dental Providers / General Practice 1223G0001X 60294772 Washington

Profile Details

NPI number 1346501608
LBN Legal business name Wagner, Shancie Jenee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Mar 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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