Cameron J Wagner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027029 Issued in IL

Practice address

130 W Silver Spring Dr #200
Whitefish Bay, WI 53217

Phone

(414) 939-3870

Fax

(773) 235-1249

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gerald L Wine DDS and Daniel L Lassman DDS LTD

  • Dentist
  • Chicago, IL
  • NPI 1922146778
  NPD (past)
• Sanjeet Raj Singh Parmar DDS LTD

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1598251878
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1821137399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W SILVER SPRING DR #200",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-939-3870",
            "fax_number": "773-235-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W SILVER SPRING DR #200",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-939-3870",
            "fax_number": "773-235-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CAMERON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Troeller, FNP-BC, APNP
• Meda A. Tutila, PHARMD
• Jan C Van Schaik, MD
• Erika Veal, R.N.
• George Vukmir, D.D.S.
• Kory K Wegner
• Lizhi Wei, L.AC., DIPL. AC.
• Brandon A Wells, M.S., LPC
• Elinor Rose Werner
• Trevor Wesline, DPT

• General Practice Dentistry in Whitefish Bay, WI
• Providers in Whitefish Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.