Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON D WAGONER, DDS, MAGD
ActiveDR. GORDON D WAGONER, DDS, MAGD is a General Dentistry healthcare provider located in FLORA, Indiana. NPI 1659438885 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FLORA, IN
Registration Details
- NPI Number
- 1659438885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2007 (19.624294288626 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12007394 (IN)
Practice Information
- Address
-
17 S DIVISION STFLORA, IN, 469291335Browse IN providers · Browse ZIP 46929
- Phone
- 5749674434
- Fax
- 5749674426
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FLORA, IN
| Name | Credential | NPI |
|---|---|---|
| HARRY W JONES | DDS | 1962579581 |
| DR. BRIAN WAGONER | — | 1831251313 |
| DR. STEVEN LAWRENCE HERR | D.D.S. | 1689897555 |
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.