Dr. Tara Marie Wagner is a White Bear Lake, Minnesota based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Tara Marie Wagner is
D11791 for Dentistry in Minnesota. Her current practice location is
4700 White Bear Parkway, White Bear Lake. Patients can reach her at
651-762-7677.
Dr. Tara Marie Wagner is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Tara Marie Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Tara Marie Wagner |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4700 White Bear Parkway, White Bear Lake,
Minnesota, 55110-3336 |
| Phone: | 651-762-7677 |
| Fax: | 651-762-1861 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1396840559 |
| NPI Enumeration Date: | 13 Sep, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tara Marie Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| D11791 | Dentistry | Minnesota | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1134 Creekside Circle,
Stillwater, Minnesota |
| Zip: | 55082 |
| Phone Number: | 651-351-2987 |
Patients can reach Dr. Tara Marie Wagner at
4700 White Bear Parkway, White Bear Lake, Minnesota or can
call to book an appointment on 651-762-7677.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.