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FREDERICK H. WAGGENER DDS PA
NPI 1215159058
Dentist - General Practice in Merritt Island, FL

Active since May 02, 2007
115 PARNELL ST, MERRITT ISLAND, FL 32953(321) 452-8190(321) 454-4822 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frederick H. Waggener Dds Pa NPPES

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

FREDERICK H. WAGGENER DDS PA (NPI 1215159058) is a healthcare organization registered as a general practice in Merritt Island, Florida and active in the NPI registry since May 2007. The organization lists Frederick H Waggener, President, as its authorized official.

NPPES Registry Identity

NPI1215159058
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFREDERICK H. WAGGENER DDS PA
Location Address115 PARNELL STMerritt Island, FL 32953-4715
Mailing Address115 Parnell StMerritt Island, FL 32953-4715 · (321) 452-8190 · Fax (321) 454-4822
Phone(321) 452-8190
Fax(321) 454-4822
Organization SubpartNo
Authorized OfficialFrederick H WaggenerPresident · (321) 452-8190
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215159058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 10188
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
115 PARNELL ST, Merritt Island, FL 32953
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. WILLIAM COLE WAGGENER IV DDS
Dentist (General Practice)
115 PARNELL ST
MERRITT ISLAND, FL 32953
Brevard County (321) 452-8190
FREDERICK H WAGGENER DDS
Dentist (General Practice)
115 PARNELL ST
MERRITT ISLAND, FL 32953
Brevard County (321) 452-8190

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 Frederick H. Waggener Dds PA's NPI number?

The NPI number for Frederick H. Waggener Dds PA is 1215159058. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Frederick H. Waggener Dds PA located?

Frederick H. Waggener Dds PA is located at 115 Parnell St, Merritt Island, FL 32953. The listed phone number is (321) 452-8190.

What is Frederick H. Waggener Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Frederick H. Waggener Dds PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.