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

Waggoner Professional Services PC

Organization Pediatric Dentistry · NPI 1295259760

Waggoner Professional Services PC is a Pediatric Dentistry in Las Vegas, Nevada. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9575 W Tropicana Ave Ste 5
Las Vegas, NV 89147-8491
Phone: (702) 633-8331
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence S6-17

Record details

NPI number1295259760
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Antuna — Practice Manager · (702) 254-4220
Other names Galaxy Smiles
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 21, 2022
Mailing address9575 W Tropicana Ave Ste 5, Las Vegas, NV 89147-8491

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