Wagner, Travis Ray

Wagner, Travis Ray is an sole proprietor health care provider with primary practice located at 48Th Mdg Raf Lakenheath, Apo AE 09461. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Wagner, Travis Ray can be contacted via phone (440) 163-8528.

Contact Information

Primary practice address
48Th Mdg Raf Lakenheath Apo AE 09461
Phone: (440) 163-8528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0401415734 Virginia

Profile Details

NPI number 1932635653
LBN Legal business name Wagner, Travis Ray
Credentials MAJ
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2017
Last updated Aug 21st, 2026 - about 2 months 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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