| Joel M. Wagoner, Dds Pa | |
|
77 Vilcom Center Dr Chapel Hill NC 27514-1788 | |
| (919) 968-9697 | |
| Not Available |
| Full Name | Joel M. Wagoner, Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 77 Vilcom Center Dr, Chapel Hill, North Carolina |
| Authorized Official Name and Position | Joel M Wagoner (OWNER) |
| Authorized Official Contact | 9199689697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel M. Wagoner, Dds Pa 77 Vilcom Center Dr Chapel Hill NC 27514-1788 Ph: (919) 968-9697 | Joel M. Wagoner, Dds Pa 77 Vilcom Center Dr Chapel Hill NC 27514-1788 Ph: (919) 968-9697 |
| NPI Number | 1548676919 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548676919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4126 (North Carolina) | Primary |
| 1223G0001X | Dentist - General Practice | 8321 (North Carolina) | Secondary |
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