DR. EUGENA CURTIS WAGGONER DDS
NPI 1205365756
Dentist in Prince George, VA

Q: What is Eugena Waggoner's NPI number?

The NPI number for Eugena Waggoner is 1205365756. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Q: What is Eugena Waggoner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Eugena Waggoner enrolled in Medicare?

No. Eugena Waggoner has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Eugena Waggoner was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 08, 2017Opted out of Medicare · through May 16, 2028

4710 PUDDLEDOCK ROAD, PRINCE GEORGE, VA 23875(804) 526-4822(804) 419-1059 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2021, Jun 8, 2017 (2 updates tracked since 2017).

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About Dr. Eugena Curtis Waggoner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EUGENA CURTIS WAGGONER DDS (NPI 1205365756) is an individual dentist in Prince George, Virginia, licensed in Virginia (0401415670) and active in the NPI registry since June 2017. She has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205365756

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. EUGENA CURTIS WAGGONERCredential: DDS

Location Address4710 PUDDLEDOCK ROADPrince George, VA 23875

Mailing Address1612 Huguenot RdMidlothian, VA 23113 · (804) 794-9789 · Fax (804) 419-1059

Phone(804) 526-4822

Fax(804) 419-1059

Sole ProprietorNo

Enumeration DateJune 8, 2017

Last NPPES UpdateAugust 26, 20212 updates tracked since enumeration

NPPES CertifiedAugust 26, 2021

✔ NPI 1205365756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401415670

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4710 PUDDLEDOCK ROAD, Prince George, VA 23875

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eugena Curtis Waggoner Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2018 through May 16, 2028.

Opt-Out Effective DateMay 16, 2018

Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOVIRGINIA, INC.

Clinic/Center (Multi-Specialty)

4710 PUDDLEDOCK ROAD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 915-4604

MR. RYAN HUNTER BARNES

Orthopaedic Surgery

4710 PUDDLEDOCK ROAD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0095

DR. MELANIE WEXEL SPEARS D.D.S., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

4710 PUDDLEDOCK ROAD
PRINCE GEORGE, VA 23875

Prince George County (804) 526-4822

AARON S FERRO D.O.

Family Medicine (Sports Medicine)

4710 PUDDLEDOCK ROAD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0095

DR. DAVID PAGE ROBERTS JR. D.D.S.

Dentist (General Practice)

4710 PUDDLEDOCK ROAD
PRINCE GEORGE, VA 23875

Prince George County (804) 526-4822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eugena Waggoner's NPI number?

The NPI number for Eugena Waggoner is 1205365756. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Eugena Waggoner located?

Eugena Waggoner practices at 4710 Puddledock Road, Prince George, VA 23875. The listed phone number is (804) 526-4822.

What is Eugena Waggoner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Eugena Waggoner enrolled in Medicare?

No. Eugena Waggoner has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Eugena Waggoner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Eugena Waggoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eugena Waggoner was last updated on August 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.