Dr. Joel M Wagoner, DDS
Dentist, General Practice in Chapel Hill, NC. Individual provider (NPI-1).
NPI number1982607826
StatusActive
Last updated in NPPESDec 9, 2010
Details
- NPI
- 1982607826
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel M Wagoner
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2005
- Last updated
- Dec 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4126 | NC | Yes |
Practice location
77 Vilcom Center DrSuite 110
Chapel Hill, NC 27514-1598
Phone 919-968-9697 · Fax 919-942-3331
Mailing address
77 Vilcom Center DrSuite 110
Chapel Hill, NC 27514-1598
Phone 919-968-9697 · Fax 919-942-3331
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