| Dr Gordon D Wagoner, DDS, MAGD | |
|
17 S Division St, Flora, IN 46929-1335 | |
| (574) 967-4434 | |
| (574) 967-4426 |
| Full Name | Dr Gordon D Wagoner |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 17 S Division St, Flora, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659438885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007394 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon D Wagoner, DDS, MAGD 17 S Division St, Flora, IN 46929-1335 Ph: (574) 967-4434 | Dr Gordon D Wagoner, DDS, MAGD 17 S Division St, Flora, IN 46929-1335 Ph: (574) 967-4434 |
Dr. Steven Lawrence Herr, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 607 W Columbia St, Flora, IN 46929 Phone: 574-967-3777 Fax: 574-967-4227 | |
Dr. Brian Wagoner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 17 S Division St, Flora, IN 46929 Phone: 574-967-4434 | |
Harry W Jones, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 905 E Columbia St, Flora, IN 46929 Phone: 574-967-4240 |