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

Dr. Mark Albert Waggonner, DDS

Individual provider General Practice Dentistry · NPI 1578541355

Dr. Mark Albert Waggonner, DDS is a General Practice Dentistry in Sun City, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

28401 Bradley Rd
Sun City, CA 92586-3040
Phone: (951) 679-6355
Fax: (951) 679-6355
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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 24189 (CA)

Record details

NPI number1578541355
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing address12020 Paradise St, Grand Terrace, CA 92313-5335

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