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BOUAKEO WAGNER R.D.H.
NPI 1386731792
Dental Hygienist in Salem, OR

Active since October 06, 2006
190 KINGWOOD AVE NW, SALEM, OR 97304(503) 315-0712(503) 315-0721 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bouakeo Wagner R.d.h. NPPES

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

BOUAKEO WAGNER R.D.H. (NPI 1386731792) is an individual dental hygienist in Salem, Oregon, licensed in Oregon (H4345) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1386731792
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameBOUAKEO WAGNERCredential: R.D.H.
Location Address190 KINGWOOD AVE NWSalem, OR 97304-4030
Mailing Address14670 Se Salmon StPortland, OR 97233-2568 · (503) 949-4427
Phone(503) 315-0712
Fax(503) 315-0721
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386731792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in OR · H4345
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

190 KINGWOOD AVE NW, Salem, OR 97304
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Other Names 1

Other Name (5)Maryann Wagner

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.

WENDY LAREA RIGGI RDH
Dental Hygienist
190 KINGWOOD AVE NW
SALEM, OR 97304
Polk County (503) 378-7526
MICHELLE NICOLE EUZENT DDS
Dentist (General Practice)
190 KINGWOOD AVE NW
SALEM, OR 97304
Polk County (503) 315-0712

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 Bouakeo Wagner's NPI number?

The NPI number for Bouakeo Wagner is 1386731792. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Maryann Wagner.

Where is Bouakeo Wagner located?

Bouakeo Wagner practices at 190 Kingwood Ave NW, Salem, OR 97304. The listed phone number is (503) 315-0712.

What is Bouakeo Wagner's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Bouakeo Wagner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.