Wagnild, William Walton

Wagnild, William Walton is an individual health care provider with primary practice located at 10976 Cedar Lake Rd , Minnetonka MN 55305-3366. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wagnild, William Walton can be contacted via phone (952) 544-2225.

Contact Information

Primary practice address
10976 Cedar Lake Rd Minnetonka MN 55305-3366
Phone: (952) 544-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8960 Minnesota

Profile Details

NPI number 1780721415
LBN Legal business name Wagnild, William Walton
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Oct 9th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780721415 NPPES
Minnesota Other 309218600 MN PUBLIC HEALTH CARE ID
Minnesota Other 18477CE MN PUBLIC HEALTH CARE ID

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