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

Mrs. Alexis Dawn Wagoner, DA

Individual provider Dental Assistant · NPI 1083700231

Mrs. Alexis Dawn Wagoner, DA is a Dental Assistant in Longview, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
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Practice location Address checks out

3902 Cottonwood St
Longview, WA 98632-4911
Phone: (360) 425-7753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X (WA)

Record details

NPI number1083700231
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 8, 2007

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