Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bagley Dental

Organization Dentist · NPI 1407030984

Bagley Dental is a Dentist in Bagley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
3

Practice location Address checks out

13 Main Ave N
Bagley, MN 56621-0299
Phone: (218) 964-6571
Fax: (218) 694-6555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10965 (MN)
Dentist Taxonomy 122300000X · Licence 10967 (MN)
Dentist Taxonomy 122300000X · Licence 10792 (MN)

Record details

NPI number1407030984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxane Waggoner — Office Manager · (218) 694-6571
NPI enumeratedDecember 20, 2007
Last updated in NPPESDecember 20, 2007
Mailing addressPo Box 299, Bagley, MN 56621-0299