Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALEXIS DAWN WAGONER, DA
Active Sole ProprietorMRS. ALEXIS DAWN WAGONER, DA is a Dental Assistant healthcare provider located in LONGVIEW, Washington. NPI 1083700231 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · LONGVIEW, WA
Registration Details
- NPI Number
- 1083700231
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2006 (19.875355053145 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
3902 COTTONWOOD STLONGVIEW, WA, 986324911Browse WA providers · Browse ZIP 98632
- Phone
- 3604257753
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in LONGVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| ANN MARIE SERVIS | — | 1295849057 |
| MRS. JO ANN MARTIN | — | 1417068859 |
| MRS. SHANNA MARIE BEHRENDSEN | D.A. | 1669681284 |
| MRS. CHRISTINE DEE OLENSKI | RDA | 1699915918 |
| ANGELA MARIE WILSON | EFDA | 1376908293 |
| ALEKSIS DESROSIER | — | 1396389144 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.