Individual provider · Type 1 NPI

Mark Bennett Waggoner, DDS

General Practice Dentistry · Plano, TX

NPI number 1720107717 Active

About NPI 1720107717

Mark Bennett Waggoner, DDS's National Provider Identifier is 1720107717, issued on Mar 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Plano, TX. The record was last updated on Oct 23, 2014.