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BAGLEY DENTAL
NPI 1407030984
Dentist in Bagley, MN

Active since December 20, 2007
13 MAIN AVE N, BAGLEY, MN 56621(218) 964-6571(218) 694-6555 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bagley Dental NPPES

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

BAGLEY DENTAL (NPI 1407030984) is a healthcare organization registered as a dentist in Bagley, Minnesota and active in the NPI registry since December 2007. The organization lists Roxane Lynn Waggoner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407030984
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBAGLEY DENTAL
Location Address13 MAIN AVE NBagley, MN 56621-0299
Mailing AddressPo Box 299Bagley, MN 56621-0299 · (218) 964-6571 · Fax (218) 694-6555
Phone(218) 964-6571
Fax(218) 694-6555
Organization SubpartNo
Authorized OfficialRoxane Lynn WaggonerOffice Manager · (218) 694-6571
Enumeration DateDecember 20, 2007
✔ NPI 1407030984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MN · 10965✔ Licensed in MN · 10967✔ Licensed in MN · 10792
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.
13 MAIN AVE N, Bagley, MN 56621
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER, INC.
Clinic/Center (Dental)
13 MAIN AVE N
BAGLEY, MN 56621
Clearwater County (218) 694-6571

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 Bagley Dental's NPI number?

The NPI number for Bagley Dental is 1407030984. It was assigned to this organization in the NPPES registry on December 20, 2007.

Where is Bagley Dental located?

Bagley Dental is located at 13 Main Ave N, Bagley, MN 56621. The listed phone number is (218) 964-6571.

What is Bagley Dental'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 Bagley Dental was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.