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Robert Kemp Van Wagenen, DDS
General Practice Dentistry in Fort Drum, New York
NPI 1942752837

Robert Kemp Van Wagenen is a General Practice Dentistry based in Fort Drum, NY and is specialized in General Practice. Robert Kemp Van Wagenen practices in Fort Drum, NY and has the professional credentials of DDS. The NPI Number for Robert Kemp Van Wagenen is 1942752837 and holds a License No. DEN.00202992 (New York).

The current practice location address for Robert Kemp Van Wagenen is 10590 Enduring Freedom Dr, Fort Drum, NY and can be reached out via phone at 719-666-1879.

Location: 10590 Enduring Freedom Dr, Fort Drum, NY, 13602-5503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942752837
Provider Name
Robert Kemp Van Wagenen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10590 Enduring Freedom Dr, Fort Drum, NY, 13602-5503
Phone Number
719-666-1879
Fax Number
Provider Enumeration Date
10/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10590 Enduring Freedom Dr
City
Fort Drum
State
New York
Zip
13602-5503
Phone Number
719-666-1879
Fax Number
person
Provider Business Mailing Address Details
Address
10590 Enduring Freedom Dr
City
Fort Drum
State
New York
Zip
13602-5503
Phone Number
719-666-1879
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DEN.00202992 (Colorado)
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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