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Dr. Robert Gene Wagoner II, DMDMD
Oral & Maxillofacial Surgery (D.M.D.) in Henderson, Kentucky
NPI 1740368935

Robert Gene Wagoner II is a Oral & Maxillofacial Surgery (D.M.D.) based in Henderson, KY. Robert Gene Wagoner II practices in Henderson, KY and has the professional credentials of DMDMD. The NPI Number for Robert Gene Wagoner II is 1740368935 and holds a License No. 7298 (Kentucky).

The current practice location address for Robert Gene Wagoner II is 801 N. Elm Street, Henderson, KY and can be reached out via phone at 270-212-0330 and via fax at 270-212-0332. You can also correspond with Robert Gene Wagoner II through the mailing address at 801 N. ELM STREET, HENDERSON, KY - 42420-2705 (mailing address contact number: 270-212-0330).

Location: 801 N. Elm Street, Henderson, KY, 42420-2705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740368935
Provider Name
Robert Gene Wagoner II
Credential
DMDMD
Provider Entity Type
Individual
Gender
Male
Address
801 N. Elm Street, Henderson, KY, 42420-2705
Phone Number
270-212-0330
Fax Number
270-212-0332
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000299338 01 KY ANTHEM BLUE CROSS BLUE SH
64063514 05 KY
60002003 05 KY
institution
Provider Business Practice Location Address Details
Address
801 N. Elm Street
City
Henderson
State
Kentucky
Zip
42420-2705
Phone Number
270-212-0330
Fax Number
270-212-0332
person
Provider Business Mailing Address Details
Address
801 N. Elm Street
City
Henderson
State
Kentucky
Zip
42420-2705
Phone Number
270-212-0330
Fax Number
270-212-0332
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
7298 (Kentucky)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
7298 (Kentucky)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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