Waggoner, William F.

Waggoner, William F. is an individual health care provider with primary practice located at 8981 W Sahara Ave Ste 110 , Las Vegas NV 89117-5894. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Waggoner, William F. can be contacted via phone (702) 254-4220.

Contact Information

Primary practice address
8981 W Sahara Ave Ste 110 Las Vegas NV 89117-5894
Phone: (702) 254-4220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X S617 Nevada

Profile Details

NPI number 1558337584
LBN Legal business name Waggoner, William F.
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558337584 NPPES
Other 826768 UNITED CONCORDIA
MEDICAID 00220202310 UNITED CONCORDIA

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