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Search › Texas › 1223G0001X

Thomas Waggener, D.D.S

NPI 1629166798 · on the registry since 2006 · sole proprietor

Practice

Address
4535 Lake Shore Dr
Waco, TX 76710
Phone
(254) 776-7622
Fax
(254) 776-7673
Organisation at this address
Lake Shore Dental Group Pllc
Lake Shore Dental Care, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas