Wagoner Family Dental, Pllc

NPI #1669245577 in Wagoner, Oklahoma

Provider Information

NPI Number: 1669245577
Entity Type: Organization
Organization Name: Wagoner Family Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2023
Last Updated: Nov 2, 2023

Practice Location

Address: 302 S HAYES AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5551
Phone: (918) 485-3371

Authorized Official

Name: LILY DAVIS
Title: CREDENTIALING MANAGER
Phone: (918) 998-0996

Specialties & Taxonomy Codes

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

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DR. Gary L Bryant, DDS	Dentist - General Practice	Wagoner	AI Deep Dive
DR. Aaron Harman, D.D.S	Dentist - General Practice	Wagoner	AI Deep Dive
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