| Dr Bradley Duane Wagoner, DDS | |
|
955 31st St, Marion, IA 52302-3788 | |
| (319) 377-4867 | |
| (319) 377-4383 |
| Full Name | Dr Bradley Duane Wagoner |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 955 31st St, Marion, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225019201 | NPI | - | NPPES |
| 0207225 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6894 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Duane Wagoner, DDS 3400 Crown Ave, Marion, IA 52302-1446 Ph: (319) 373-0322 | Dr Bradley Duane Wagoner, DDS 955 31st St, Marion, IA 52302-3788 Ph: (319) 377-4867 |
Dr. Charles R Scholl Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1655 Blairs Ferry Rd, Marion, IA 52302 Phone: 319-373-5082 Fax: 319-373-7083 | |
Ian Shaw, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1180 7th Ave, Marion, IA 52302 Phone: 319-423-9350 | |
Dr. James Donald Walker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 601 Tama St, Marion, IA 52302 Phone: 319-366-2451 | |
Fontaine Walker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 955 31st St, Suite E, Marion, IA 52302 Phone: 319-373-0192 Fax: 319-373-0192 | |
Dr. Laura Elizabeth Fauchier, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 955 31st St, Marion, IA 52302 Phone: 319-377-4867 Fax: 319-377-4384 | |
Dr. Peter George Nopoulos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 880 13th St, Marion, IA 52302 Phone: 319-373-1304 Fax: 319-373-5875 |