Dr Jennifer Van Wagoner, DMD | |
35401 Mission Dr, St. Ignatius, MT 59865 | |
(406) 745-3525 | |
(406) 745-3529 |
Full Name | Dr Jennifer Van Wagoner |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 35401 Mission Dr, St. Ignatius, Montana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396974572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5912 (Nevada) | Secondary |
122300000X | Dentist | 5912 (Nevada) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Van Wagoner, DMD P.o. Box 880, St. Ignatius, MT 59865 Ph: (406) 745-3525 | Dr Jennifer Van Wagoner, DMD 35401 Mission Dr, St. Ignatius, MT 59865 Ph: (406) 745-3525 |
Dr. Stephanie Penturf Shealy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 308 Mission Drive, St. Ignatius, MT 59865 Phone: 406-745-3525 Fax: 406-745-4235 | |
Tanner L. Diggs, DENTIST Dentist Medicare: Medicare Enrolled Practice Location: 35401 Mission Dr., St. Ignatius, MT 59865 Phone: 218-878-2163 | |
Dr. Sarin Mckenna, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 35401 Mission Drive, St. Ignatius, MT 59865 Phone: 406-745-3525 Fax: 406-745-3529 |