Individual provider · Type 1 NPI

Marissa Wagehoft, DMD

Dentist · Kersey, PA

NPI number 1902794928 Active

Practice location

176 Skyline Dr
Kersey, PA 15846-9146

Mailing address

165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431

Other practice locations

  • 80 Cinema Dr, Ellijay, GA 30540-2592 · (706) 276-2828

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS045212 (PA)

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…

Another provider at this address

About NPI 1902794928

Marissa Wagehoft, DMD's National Provider Identifier is 1902794928, issued on Jun 26, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Kersey, PA. The record was last updated on Sep 29, 2026.