DR. MARK BENNETT WAGGONER DDS
NPI 1720107717
Dentist - General Practice in Plano, TX

Q: What is Mark Waggoner's NPI number?

The NPI number for Mark Waggoner is 1720107717. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Mark Waggoner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Waggoner was last updated on October 23, 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.

Active since March 29, 2007

3104 HARVARD CT, PLANO, TX 75093(972) 333-6204 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Bennett Waggoner Dds NPPES

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

DR. MARK BENNETT WAGGONER DDS (NPI 1720107717) is an individual general practice provider in Plano, Texas, licensed in Texas (13820) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720107717

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK BENNETT WAGGONERCredential: DDS

Location Address3104 HARVARD CTPlano, TX 75093-3450

Mailing Address3104 Harvard CtPlano, TX 75093-3450 · (972) 333-6204

Phone(972) 333-6204

Sole ProprietorYes

Enumeration DateMarch 29, 2007

Last NPPES UpdateOctober 23, 2014

✔ NPI 1720107717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 13820

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.

Also ListedDentist · Dentist AnesthesiologistTaxonomy 1223D0004X · License 13820 (TX)

3104 HARVARD CT, Plano, TX 75093

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Mark Waggoner's NPI number?

The NPI number for Mark Waggoner is 1720107717. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Mark Waggoner located?

Mark Waggoner practices at 3104 Harvard Ct, Plano, TX 75093. The listed phone number is (972) 333-6204.

What is Mark Waggoner's specialty?

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

What insurance does Mark Waggoner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Waggoner 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 Mark Waggoner was last updated on October 23, 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.