DR. TARA MARIE WAGNER (DDS) – Dentist, NPI 1396840559

DR. TARA MARIE WAGNER (DDS) is a healthcare provider. based in Stillwater, Minnesota. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. D11791 (MN). The NPI Number for DR. TARA MARIE WAGNER (DDS) is 1396840559

Main info

Female
Name
DR. TARA MARIE WAGNER (DDS)
NPI
1396840559
Phone
(651) 351-2987
Address
1134 CREEKSIDE CIRCLE
Enumeration Date
13 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TARA MARIE WAGNER (DDS)

  • 1134, Creekside Circle, Stillwater, Washington County, Minnesota, 55082, United States

    STILLWATER, MN 55082

    Phone: (651) 351-2987

    Type: Mailing

  • 4700, White Bear Parkway, White Bear Lake, Ramsey County, Minnesota, 55110, United States

    WHITE BEAR LAKE, MN 551103336

    Phone: (651) 762-7677

    Fax: (651) 762-1861

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55082)

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Reviews

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Frequently asked questions

What is DR. TARA MARIE WAGNER (DDS)'s NPI number?
DR. TARA MARIE WAGNER (DDS)'s NPI is 1396840559 — the number used across U.S. healthcare to identify this provider.
Would DR. TARA MARIE WAGNER (DDS) appear as active to a payer?
You can treat DR. TARA MARIE WAGNER (DDS) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. TARA MARIE WAGNER (DDS)?
At a glance, DR. TARA MARIE WAGNER (DDS) is tied to Dentist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. TARA MARIE WAGNER (DDS) registered?
Use Stillwater, Minnesota as the headline location for DR. TARA MARIE WAGNER (DDS) here.
When was this NPI issued?
Enumeration for DR. TARA MARIE WAGNER (DDS) is noted as September 13, 2006 where the registry provides it.

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