Individual provider · Type 1 NPI
Gordon D. Wagoner, DDS, MAGD
General Practice Dentistry · Flora, IN
NPI number
1659438885
Active
Practice location
17 S Division St
Flora, IN 46929-1335
Fax (574) 967-4426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12007394 (IN) |
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.
2 other providers at this address
Other general practice dentistry providers in Flora
About NPI 1659438885
Gordon D. Wagoner, DDS, MAGD's National Provider Identifier is 1659438885, issued on Jan 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flora, IN. The record was last updated on Jul 8, 2007.