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

Dr. Jennifer Van Wagoner, DMD

Individual provider General Practice Dentistry · NPI 1396974572

Dr. Jennifer Van Wagoner, DMD is a General Practice Dentistry in St Ignatius, Montana. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

35401 Mission Dr
St Ignatius, MT 59865
Phone: (406) 745-3525
Fax: (406) 745-3529
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5912 (NV)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5912 (NV)

Record details

NPI number1396974572
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 8, 2009
Last updated in NPPESOctober 17, 2014
Mailing addressP.O. Box 880, St. Ignatius, MT 59865

Other providers in St Ignatius