Individual provider · Type 1 NPI

Jennifer Van Wagoner, DMD

Dentist · St. Ignatius, MT

NPI number 1396974572 Active

Practice location

35401 Mission Dr
St. Ignatius, MT 59865

Fax (406) 745-3529

Mailing address

P.o. Box 880
St. Ignatius, MT 59865

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X5912 (NV)
Dentist Primary 122300000X5912 (NV)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1396974572

Jennifer Van Wagoner, DMD's National Provider Identifier is 1396974572, issued on Jul 8, 2009. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Ignatius, MT. The record was last updated on Oct 17, 2014.