OrganizationActive
Bagley Dental
NPI 1407030984 · Dentist · Bagley, MN
Bagley Dental is a Dentist organization in Bagley, MN (NPI 1407030984).
Provider details
- NPI number
- 1407030984
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Roxane Waggoner, Office Manager(218) 694-6571
- License
- 10967 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13 Main Ave N
Bagley, MN 56621-0299
Phone: (218) 964-6571
Fax: (218) 694-6555
Street-level locationGet directions
Mailing address
Po Box 299
Bagley, MN 56621-0299
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2007-12-20
Frequently asked questions
- What is Bagley Dental's NPI number?
- Bagley Dental's National Provider Identifier (NPI) is 1407030984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bagley Dental?
- Bagley Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bagley Dental located?
- Bagley Dental's practice location on file with NPPES is 13 Main Ave N, Bagley, MN 56621-0299.
- What is Bagley Dental's phone number?
- The practice phone number listed in the NPPES registry for Bagley Dental is (218) 964-6571.
- Who is the authorized official for Bagley Dental?
- The authorized official listed on Bagley Dental's NPPES record is Roxane Waggoner, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bagley Dental's NPI active?
- Yes — Bagley Dental's NPI (1407030984) is active in the NPPES registry as of the last update on 2007-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.