Frederick H. Waggener DDS PA
Frederick H. Waggener DDS PA is a General Practice Dentistry in Merritt Island, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
115 Parnell StMerritt Island, FL 32953-4715
Phone: (321) 452-8190
Fax: (321) 454-4822
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 10188 (FL) |
|---|
Record details
| NPI number | 1215159058 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frederick Waggener — President · (321) 452-8190 |
| NPI enumerated | May 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 115 Parnell St, Merritt Island, FL 32953-4715 |
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Dr. Jere Scott Gillan Jr., DMD
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