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Dr. Thomas Wilson Waggener, DDS
General Practice Dentistry in Waco, Texas
NPI 1629166798

Thomas Wilson Waggener is a General Practice Dentistry based in Waco, TX and is specialized in General Practice. Thomas Wilson Waggener practices in Waco, TX and has the professional credentials of DDS. The NPI Number for Thomas Wilson Waggener is 1629166798 and holds a License No. 11868 (Texas).

The current practice location address for Thomas Wilson Waggener is 4535 Lake Shore Dr, Waco, TX and can be reached out via phone at 254-776-7622 and via fax at 254-776-7673.

Location: 4535 Lake Shore Dr, Waco, TX, 76710-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629166798
Provider Name
Thomas Wilson Waggener
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4535 Lake Shore Dr, Waco, TX, 76710-1814
Phone Number
254-776-7622
Fax Number
254-776-7673
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0086746-01 05 TX
institution
Provider Business Practice Location Address Details
Address
4535 Lake Shore Dr
City
Waco
State
Texas
Zip
76710-1814
Phone Number
254-776-7622
Fax Number
254-776-7673
person
Provider Business Mailing Address Details
Address
4535 Lake Shore Dr
City
Waco
State
Texas
Zip
76710-1814
Phone Number
254-776-7622
Fax Number
254-776-7673
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11868 (Texas)
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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