| Dr Jennifer Van Wagoner, DMD | |
|
35401 Mission Dr, St. Ignatius, MT 59865 | |
| (406) 745-3525 | |
| (406) 745-3529 |
| Full Name | Dr Jennifer Van Wagoner |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 35401 Mission Dr, St. Ignatius, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396974572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5912 (Nevada) | Secondary |
| 122300000X | Dentist | 5912 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Van Wagoner, DMD P.o. Box 880, St. Ignatius, MT 59865 Ph: (406) 745-3525 | Dr Jennifer Van Wagoner, DMD 35401 Mission Dr, St. Ignatius, MT 59865 Ph: (406) 745-3525 |
Dr. Stephanie Penturf Shealy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 Mission Drive, St. Ignatius, MT 59865 Phone: 406-745-3525 Fax: 406-745-4235 | |
Tanner L. Diggs, DENTIST Dentist Medicare: Medicare Enrolled Practice Location: 35401 Mission Dr., St. Ignatius, MT 59865 Phone: 218-878-2163 | |
Dr. Sarin Mckenna, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 35401 Mission Drive, St. Ignatius, MT 59865 Phone: 406-745-3525 Fax: 406-745-3529 |