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Alexis Wagoner, DA — NPI 1083700231, Longview, WA | NPI Central

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Alexis Wagoner, DA

NPI 1083700231 · Dental Assistant · Longview, WA

Provider details

NPI number: 1083700231
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: DA
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Dental AssistantPrimary126800000X
Dental Providers

Practice location

3902 Cottonwood St

Longview, WA 98632-4911

Phone: (360) 425-7753

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

3902 Cottonwood St

Longview, WA 98632-4911

Registry dates

Enumerated: 2006-10-05
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.