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Search › Mississippi › 1223S0112X

Chad Wagner, DDS

NPI 1790381622 · on the registry since 2020

Practice

Address
301 Fisher St
Biloxi, MS 39534
Phone
(651) 600-7104
Organisation at this address
U.S Air Force
Keesler Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
186

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
204E00000X
Licence states on file
MS, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi