Search › Indiana › 1223G0001X
Gordon Wagoner, DDS, MAGD
NPI 1659438885 · on the registry since 2007
Practice
- Address
- 17 S Division St
Flora, IN 46929 - Phone
- (574) 967-4434
- Fax
- (574) 967-4426
- Organisation at this address
- Drs. Wagoner & Wagoner, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana