Wagner, Travis Wayne

Wagner, Travis Wayne is an individual health care provider with primary practice located at 200 Veterans Ave , Beckley WV 25801-6444. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wagner, Travis Wayne can be contacted via phone (304) 255-2121.

Contact Information

Primary practice address
200 Veterans Ave Beckley WV 25801-6444
Phone: (304) 255-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS042611 Pennsylvania
Dental Providers / General Practice 1223G0001X 17003 Maryland
Dental Providers / General Practice 1223G0001X 4340 West Virginia

Profile Details

NPI number 1508358953
LBN Legal business name Wagner, Travis Wayne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2018
Last updated Aug 19th, 2022 - about 4 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.

Request for update

Popular Providers