Gordon D Wagoner in Flora - General Practice
Gordon D Wagoner - NPI 1659438885
Gordon D Wagoner is a General Practice in Flora, Indiana. Gordon D Wagoner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gordon D Wagoner is 1659438885. The last update date is 2007-07-08.
Gordon D Wagoner's current location address is 17 S Division St, Flora, Indiana. You can contact this provider via phone number 5749674434 and fax number 5749674426. The mailing address for Gordon D Wagoner is 17 S Division St, Flora, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon D Wagoner |
|---|---|
| Address | 17 S Division St, Flora, Indiana |
| Phone Number | 5749674434 |
| Fax Number | 5749674426 |
| Sole Proprietor | N |
| Credentials | DDS, MAGD |
NPI Number Detail
| NPI Number | 1659438885 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| 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 | 5749674426 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12007394 |
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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 Gordon D Wagoner's 1659438885?
The Gordon D Wagoner's NPI (National Provider Identifier) Number is 1659438885. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gordon D Wagoner's facilities are geographically located?
The facilities of Gordon D Wagoner are physically situated at the following location: 17 S Division St, Flora, IN, 469291335.
What is Gordon D Wagoner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gordon D Wagoner is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When was the Gordon D Wagoner's 1659438885 issued?
The Gordon D Wagoner's 1659438885 was issued on 2007-01-03.
As of what date was the information regarding Gordon D Wagoner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gordon D Wagoner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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