DR. Gordon D Wagoner, DDS, MAGD

NPI #1659438885 in Flora, Indiana

Provider Information

NPI Number: 1659438885
Entity Type: Individual
Name: DR. Gordon D Wagoner, DDS, MAGD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS, MAGD
Enumeration Date: Jan 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17 S DIVISION ST
City: Flora
State: Indiana
ZIP Code: 46929-1335
Phone: (574) 967-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Provider Name	Specialty	City
DR. Steven Lawrence Herr, D.D.S.	Dentist - General Practice	Flora	AI Deep Dive
DR. Brian Wagoner	Dentist - General Practice	Flora	AI Deep Dive
Harry W Jones, DDS	Dentist - General Practice	Flora	AI Deep Dive

Organizations

Provider Name	Specialty	City
Jones Family Dentistry LLC	Dentist - General Practice	Flora	AI Deep Dive
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