Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT KEMP VAN WAGENEN, DDS
Active Sole ProprietorROBERT KEMP VAN WAGENEN, DDS is a General Dentistry healthcare provider located in FORT DRUM, New York. NPI 1942752837 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FORT DRUM, NY
Registration Details
- NPI Number
- 1942752837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2016 (9.8025847297468 yrs)
- Last Updated
- Dec 11, 2023
- License
-
DEN.00202992 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10590 ENDURING FREEDOM DRFORT DRUM, NY, 136025503Browse NY providers · Browse ZIP 13602
- Phone
- 7196661879
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| DR. RALF BEILHARDT | DDS | 1104829761 |
| DR. DONALD FOSTER | DDS | 1720078983 |
| DR. CARLOS BOU ASSI | DMD | 1699874453 |
| DR. AUBREY RUSSELL HOPKINS | DMD | 1356778500 |
| DR. JESSICA LYNN BONDY-CAREY | D.M.D. | 1457750671 |
| DR. BRYAN TAPPEN | DMD | 1134653488 |
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.