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Dr. Mark Bennett Waggoner, DDS
Dentist Anesthesiologist in Plano, Texas
NPI 1720107717

Mark Bennett Waggoner is a Dentist Anesthesiologist based in Plano, TX and is specialized in Dentist Anesthesiologist. Mark Bennett Waggoner practices in Plano, TX and has the professional credentials of DDS. The NPI Number for Mark Bennett Waggoner is 1720107717 and holds a License No. 13820 (Texas).

The current practice location address for Mark Bennett Waggoner is 3104 Harvard Ct, Plano, TX and can be reached out via phone at 972-333-6204.

Location: 3104 Harvard Ct, Plano, TX, 75093-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720107717
Provider Name
Mark Bennett Waggoner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3104 Harvard Ct, Plano, TX, 75093-3450
Phone Number
972-333-6204
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3104 Harvard Ct
City
Plano
State
Texas
Zip
75093-3450
Phone Number
972-333-6204
Fax Number
person
Provider Business Mailing Address Details
Address
3104 Harvard Ct
City
Plano
State
Texas
Zip
75093-3450
Phone Number
972-333-6204
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
13820 (Texas)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13820 (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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