Frederick H. Waggener DDS PA
NPI #1215159058 in Merritt Island, Florida
Provider Information
- NPI Number
- 1215159058
- Entity Type
- Organization
- Organization Name
- Frederick H. Waggener DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 115 PARNELL ST
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32953-4715
- Phone
- (321) 452-8190
Authorized Official
- Name
- DR. FREDERICK H WAGGENER, DDS
- Title
- PRESIDENT
- Phone
- (321) 452-8190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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