Search › Kentucky › 204E00000X
Robert Wagoner, DMD MD
NPI 1740368935 · on the registry since 2006 · sole proprietor
Practice
- Address
- 801 N. Elm Street
Henderson, KY 42420 - Phone
- (270) 212-0330
- Fax
- (270) 212-0332
- Organisation at this address
- Green River Oral Surgery
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 204E00000X
204E00000X
- Also registered as
- 1223S0112X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-04
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 Kentucky