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WAGONER FAMILY DENTAL, PLLC
NPI 1669245577
Dentist - General Practice in Wagoner, OK

Active since November 02, 2023
302 S HAYES AVE, WAGONER, OK 74467(918) 485-3371 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wagoner Family Dental, Pllc NPPES

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

WAGONER FAMILY DENTAL, PLLC (NPI 1669245577) is a healthcare organization registered as a general practice in Wagoner, Oklahoma and active in the NPI registry since November 2023. The organization lists Lily Davis, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1669245577
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWAGONER FAMILY DENTAL, PLLC
Location Address302 S HAYES AVEWagoner, OK 74467-5551
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079
Phone(918) 485-3371
Organization SubpartNo
Authorized OfficialLily DavisCredentialing Manager · (918) 998-0996
Enumeration DateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1669245577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
302 S HAYES AVE, Wagoner, OK 74467
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

ARIEL THORPE DDS
Dentist
302 S HAYES AVE
WAGONER, OK 74467
Wagoner County (918) 485-3371
DR. AARON HARMAN D.D.S
Dentist (General Practice)
302 S HAYES AVE
WAGONER, OK 74467
Wagoner County (918) 485-3371

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 Wagoner Family Dental, PLLC's NPI number?

The NPI number for Wagoner Family Dental, PLLC is 1669245577. It was assigned to this organization in the NPPES registry on November 2, 2023.

Where is Wagoner Family Dental, PLLC located?

Wagoner Family Dental, PLLC is located at 302 S Hayes Ave, Wagoner, OK 74467. The listed phone number is (918) 485-3371.

What is Wagoner Family Dental, PLLC's specialty?

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

What insurance does Wagoner Family Dental, PLLC accept?

Health plans from UnitedHealthcare list Wagoner Family Dental, PLLC 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 Wagoner Family Dental, PLLC was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.