1. Home
  2. Directory
  3. Kentucky
  4. Henderson
  5. Oral Maxillofacial Surgery
  6. NPI Profile

DR. ROBERT GENE WAGONER II DMD MD
NPI 1740368935
Oral & Maxillofacial Surgery in Henderson, KY

Active since November 02, 2006PECOS Enrolled
801 N. ELM STREET, HENDERSON, KY 42420(270) 212-0330(270) 212-0332 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Gene Wagoner Ii Dmd Md NPPES

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

DR. ROBERT GENE WAGONER II DMD MD (NPI 1740368935) is an individual oral & maxillofacial surgery provider in Henderson, Kentucky, licensed in Kentucky (7298) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740368935
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ROBERT GENE WAGONER IICredential: DMD MD
Location Address801 N. ELM STREETHenderson, KY 42420-2705
Mailing Address801 N. Elm StreetHenderson, KY 42420-2705 · (270) 212-0330 · Fax (270) 212-0332
Phone(270) 212-0330
Fax(270) 212-0332
Sole ProprietorYes
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1740368935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in KY · 7298
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 7298 (KY)
801 N. ELM STREET, Henderson, KY 42420
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN0218704KY
Medicaid64063514KY
Medicaid60002003KY
Medicare UPINU95876
Other000000299338KY · Anthem Blue Cross Blue Sh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Humana, Paramount and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Gene Wagoner Ii Dmd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Robert Wagoner's NPI number?

The NPI number for Robert Wagoner is 1740368935. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Robert Wagoner located?

Robert Wagoner practices at 801 N. Elm Street, Henderson, KY 42420. The listed phone number is (270) 212-0330.

What is Robert Wagoner's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Robert Wagoner enrolled in Medicare?

Yes. Robert Wagoner is registered in the Medicare PECOS enrollment system.

What insurance does Robert Wagoner accept?

Health plans from HRI Dental & Vision, Humana, Paramount and Renaissance Dental list Robert Wagoner 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 Robert Wagoner was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.