Dr. Craig A Wagley
Oral & Maxillofacial Surgeon
5437 Mahoning Ave Suite 12
Austintown
, Ohio 44515-2437
Dr. Craig A Wagley
Oral & Maxillofacial Surgeon
5437 Mahoning Ave Suite 12
Austintown
, Ohio 44515-2437
(330) 792-9249
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Craig A Wagley
- 5437 Mahoning Ave Suite 12
- Austintown, OH
- Zip : 44515-2437
- Fax : (330) 792-9249
- Phone : (330) 792-2501
Second Address
- Dr. Craig A Wagley
- 5437 Mahoning Ave Suite 12
- Austintown, OH
- Zip : 44515-2437
- Fax : (330) 792-9249
- Phone : (330) 792-2501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 21078 | OH |
National Provider Identifier
| NPI | 1235115833 |
|---|---|
| Provider Name | Dr. Craig A Wagley |
| First Address | Austintown, OH 44515-2437 |
| Second Address | Austintown, OH 44515-2437 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2005 |
| Last Update Date | 08/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2134630 | (05) | OH |
| G97345 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.