William W Wagnild DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8960 Issued in MN

Legal business name

WILLIAM W WAGNILD DDS PA

Practice address

10976 Cedar Lake Rd
Minnetonka, MN 55305-3366

Phone

(952) 544-2225

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Walton Wagnild, DDSNPI 1780721415

Title

Owner President

Phone

(952) 544-2225

Specialties & licenses 1

Addresses

Other names 1

• Cedar Hills Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Walton Wagnild, DDS

  • General Practice Dentistry
  • Minnetonka, MN
  • NPI 1780721415
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1902943657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10976 CEDAR LAKE RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053366",
            "telephone_number": "952-544-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10976 CEDAR LAKE RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553053366",
            "telephone_number": "952-544-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W WAGNILD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "WAGNILD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WALTON",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "952-544-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hills Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Wray Wilkerson, FNP
• Kyle James Wilkes, DDS
• Angelia Denise Wilks
• Barbara A Wilkus, PSYD LP
• Kennedy Willemarck
• Gilonda Williams-Butler, LMFT
• Dustin Williams, ACNP
• Jennifer Argraves Williams, D.C.
• Melissa Ann Johnson Williams, MSW, LICSW
• Patre D Williams, ARNP

• General Practice Dentistry in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.