Provider Demographics
NPI:1922238674
Name:WANGLER, ASHLEY (DDS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:WANGLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3255 GREENSBORO DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-5413
Mailing Address - Country:US
Mailing Address - Phone:701-255-0469
Mailing Address - Fax:701-223-3677
Practice Address - Street 1:3255 GREENSBORO DR
Practice Address - Street 2:SUITE 101
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-5413
Practice Address - Country:US
Practice Address - Phone:701-255-0469
Practice Address - Fax:701-223-3677
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2154122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist