Individual provider · Type 1 NPI

Bradley Duane Wagoner, DDS

General Practice Dentistry · Marion, IA

NPI number 1225019201 Active

Practice location

955 31st St
Marion, IA 52302-3788

Call (319) 377-4867 Map

Fax (319) 377-4383

Mailing address

3400 Crown Ave
Marion, IA 52302-1446

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	6894 (IA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1225019201

Bradley Duane Wagoner, DDS's National Provider Identifier is 1225019201, issued on Nov 8, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Marion, IA. The record was last updated on Jul 13, 2026.