Brian Wagoner is a General Practice in Flora, Indiana. Brian Wagoner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian Wagoner is 1831251313. The last update date is 2007-07-08.
Brian Wagoner's current location address is 17 S Division St, Flora, Indiana. You can contact this provider via phone number 5749674434. The mailing address for Brian Wagoner is 17 S Division St, Flora, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Wagoner |
|---|---|
| Address | 17 S Division St, Flora, Indiana |
| Phone Number | 5749674434 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1831251313 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17 S Division St |
|---|---|
| City | Flora |
| State | Indiana (IN) |
| Post Code | 469291335 |
| Phone Number | 5749674434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12009376 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Brian Wagoner's 1831251313?
The Brian Wagoner's NPI (National Provider Identifier) Number is 1831251313. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brian Wagoner is physically located?
The Brian Wagoner is physically situated at the following address: 17 S Division St, Flora, IN, 469291335.
What is the area of specialization for Brian Wagoner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Wagoner is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1831251313 to Brian Wagoner?
The Centers for Medicare & Medicaid Services assigned the 1831251313 to Brian Wagoner on 2006-12-14.
As of what date were the Brian Wagoner's details last updated?
The information pertaining to the Brian Wagoner, including its address, specialty, and other details, was most recently updated on 2007-07-08.