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DR. JENNIFER VAN WAGONER DMD
NPI 1396974572
Dentist in St. Ignatius, MT

Active since July 08, 2009
35401 MISSION DR, ST. IGNATIUS, MT 59865(406) 745-3525(406) 745-3529 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Van Wagoner Dmd NPPES

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

DR. JENNIFER VAN WAGONER DMD (NPI 1396974572) is an individual dentist in St. Ignatius, Montana, licensed in Nevada (5912) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1396974572
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNIFER VAN WAGONERCredential: DMD
Location Address35401 MISSION DRSt. Ignatius, MT 59865
Mailing AddressP.o. Box 880St. Ignatius, MT 59865 · (406) 745-3525 · Fax (406) 745-3529
Phone(406) 745-3525
Fax(406) 745-3529
Sole ProprietorYes
Enumeration DateJuly 8, 2009
Last NPPES UpdateOctober 17, 2014
✔ NPI 1396974572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NV · 5912
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 5912 (NV)
35401 MISSION DR, St. Ignatius, MT 59865
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Other Providers at the Same Location NPPES 20

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

DR. TAYLOR DIGGS DMD
Dentist
35401 MISSION DR
SAINT IGNATIUS, MT 59865
Lake County (406) 745-3525
MS. MARGIT ELISABETH GROESSLER NP-C
Nurse Practitioner (Family)
35401 MISSION DR
SAINT IGNATIUS, MT 59865
Lake County (406) 745-3525
MAXINE MARTINEZ
Registered Nurse
35401 MISSION DR
SAINT IGNATIUS, MT 59865
Lake County (406) 745-3525
HARRIS BAJWA
Student in an Organized Health Care Education/Training Program
35401 MISSION DR
ST IGNATIUS, MT 59865
Lake County (406) 317-3751
GENA MONTOYA
Social Worker (Clinical)
35401 MISSION DR
SAINT IGNATIUS, MT 59865
Lake County (406) 745-3525
ASHLEY ROCHELLE BALLETTO RN
Registered Nurse (Case Management)
35401 MISSION DR
ST. IGNATIUS, MT 59865
Lake County (406) 849-5798
DR. DESIREE LACY FOX PHD
Psychologist (Clinical)
35401 MISSION DR
SAINT IGNATIUS, MT 59865
Lake County (406) 745-3525
ADESSA DURGLO RN
Registered Nurse
35401 MISSION DR
SAINT IGNATIUS, MT 59865
Lake County (406) 745-3525

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 Jennifer Van Wagoner's NPI number?

The NPI number for Jennifer Van Wagoner is 1396974572. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Jennifer Van Wagoner located?

Jennifer Van Wagoner practices at 35401 Mission Dr, St. Ignatius, MT 59865. The listed phone number is (406) 745-3525.

What is Jennifer Van Wagoner's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Van Wagoner was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.