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Dr. Gordon D Wagoner, DDS,MAGD
General Practice Dentistry in Flora, Indiana
NPI 1659438885

Gordon D Wagoner is a General Practice Dentistry based in Flora, IN and is specialized in General Practice. Gordon D Wagoner practices in Flora, IN and has the professional credentials of DDS,MAGD. The NPI Number for Gordon D Wagoner is 1659438885 and holds a License No. 12007394 (Indiana).

The current practice location address for Gordon D Wagoner is 17 S Division St, Flora, IN and can be reached out via phone at 574-967-4434 and via fax at 574-967-4426.

Location: 17 S Division St, Flora, IN, 46929-1335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659438885
Provider Name
Gordon D Wagoner
Credential
DDS,MAGD
Provider Entity Type
Individual
Gender
Male
Address
17 S Division St, Flora, IN, 46929-1335
Phone Number
574-967-4434
Fax Number
574-967-4426
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17 S Division St
City
Flora
State
Indiana
Zip
46929-1335
Phone Number
574-967-4434
Fax Number
574-967-4426
person
Provider Business Mailing Address Details
Address
17 S Division St
City
Flora
State
Indiana
Zip
46929-1335
Phone Number
574-967-4434
Fax Number
574-967-4426
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12007394 (Indiana)
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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