Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT GENE WAGONER II, DMD MD
Active Sole ProprietorDR. ROBERT GENE WAGONER II, DMD MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in HENDERSON, Kentucky. NPI 1740368935 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · HENDERSON, KY
Registration Details
- NPI Number
- 1740368935
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2006 (19.738781471778 yrs)
- Last Updated
- Sep 4, 2012
- Licenses
-
7298 (KY)7298 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 N. ELM STREETHENDERSON, KY, 424202705Browse KY providers · Browse ZIP 42420
- Phone
- 2702120330
- Fax
- 2702120332
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.