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Dr. Bradley Duane Wagoner, DDS
General Practice Dentistry in Marion, Iowa
NPI 1225019201

Bradley Duane Wagoner is a General Practice Dentistry based in Marion, IA and is specialized in General Practice. Bradley Duane Wagoner practices in Marion, IA and has the professional credentials of DDS. The NPI Number for Bradley Duane Wagoner is 1225019201 and holds a License No. 6894 (Iowa).

The current practice location address for Bradley Duane Wagoner is 955 31St St, Marion, IA and can be reached out via phone at 319-377-4867 and via fax at 319-377-4383. You can also correspond with Bradley Duane Wagoner through the mailing address at 3400 CROWN AVE, MARION, IA - 52302-1446 (mailing address contact number: 319-373-0322).

Location: 955 31St St, Marion, IA, 52302-1446
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Provider Profile Details
NPI Number
1225019201
Provider Name
Bradley Duane Wagoner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
955 31St St, Marion, IA, 52302-1446
Phone Number
319-377-4867
Fax Number
319-377-4383
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0207225 05 IA
institution
Provider Business Practice Location Address Details
Address
955 31St St
City
State
Zip
52302-3788
Phone Number
319-377-4867
Fax Number
319-377-4383
person
Provider Business Mailing Address Details
Address
955 31St St
City
State
Zip
52302-3788
Phone Number
319-377-4867
Fax Number
319-377-4383
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
6894 (Iowa)
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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