Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter Louis Wagner, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1548356280

Dr. Peter Louis Wagner, DDS is an Oral Surgery in Mequon, Wisconsin. Qualified in 2008, 18 years ago. Practices with Oral Surgery Associates of Milwaukee SC, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
18
Licensed in
WI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

10535 N Port Washington Rd Ste 102
Mequon, WI 53092-5583
Phone: (262) 241-0900
Fax: (262) 241-0904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 5604-015 (WI)

Record details

NPI number1548356280
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 24, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Oral Surgery Associates Of Milwaukee Sc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mequon