| Drs. Wagoner & Wagoner, Pc | |
|
17 S Division St Flora IN 46929-1335 | |
| (574) 967-4434 | |
| (574) 967-4426 |
| Full Name | Drs. Wagoner & Wagoner, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 S Division St, Flora, Indiana |
| Authorized Official Name and Position | Gordon D. Wagoner (PRESIDENT) |
| Authorized Official Contact | 5749674434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Wagoner & Wagoner, Pc 17 S Division St Flora IN 46929-1335 Ph: (574) 967-4434 | Drs. Wagoner & Wagoner, Pc 17 S Division St Flora IN 46929-1335 Ph: (574) 967-4434 |
| NPI Number | 1932318995 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932318995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007394 (Indiana) | Primary |
| 1223G0001X | Dentist - General Practice | 12009376 (Indiana) | Secondary |
Jones Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 E Columbia St, Flora, IN 46929 Phone: 574-967-4240 | |
The Denture Place, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Excutive Dr, Flora, IN 47905 Phone: 765-447-2322 Fax: 765-447-6243 |