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Dr. Brian Wagoner
General Practice Dentistry in Flora, Indiana
NPI 1831251313

Brian Wagoner is a General Practice Dentistry based in Flora, IN and is specialized in General Practice. Brian Wagoner practices in Flora, IN. The NPI Number for Brian Wagoner is 1831251313 and holds a License No. 12009376 (Indiana).

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

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
1831251313
Provider Name
Brian Wagoner
Credential
Provider Entity Type
Individual
Gender
Male
Address
17 S Division St, Flora, IN, 46929-1335
Phone Number
574-967-4434
Fax Number
Provider Enumeration Date
12/14/2006
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
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
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12009376 (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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