IndividualActive
Robert Wagoner, DMD MD
NPI 1740368935 · Oral & Maxillofacial Surgery (D.M.D.) · Henderson, KY
Provider details
- NPI number
- 1740368935
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7298 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
801 N. Elm Street
Henderson, KY 42420-2705
Phone: (270) 212-0330
Fax: (270) 212-0332
Approximate (ZIP-level) locationGet directions
Mailing address
801 N. Elm Street
Henderson, KY 42420-2705
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2012-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.