Dr Jennifer Van Wagoner, DMD - Dentist in St. Ignatius, MT

Dr Jennifer Van Wagoner, DMD is a Dentist based in St. Ignatius, Montana. Dr Jennifer Van Wagoner is licensed to practice in Nevada (license number 5912) and her current practice location is 35401 Mission Dr, St. Ignatius, Montana. She can be reached at her office (for appointments etc.) via phone at (406) 745-3525.

NPI number for Dr Jennifer Van Wagoner is 1396974572 and her current mailing address is P.o. Box 880, St. Ignatius, Montana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396974572.

Contact Information

Dr Jennifer Van Wagoner, DMD
35401 Mission Dr,
St. Ignatius, MT 59865
(406) 745-3525
(406) 745-3529



Healthcare Provider's Profile

Full NameDr Jennifer Van Wagoner
GenderFemale
SpecialityDentist
Location35401 Mission Dr, St. Ignatius, Montana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396974572
  • Provider Enumeration Date: 07/08/2009
  • Last Update Date: 10/17/2014

Medical Identifiers

Medical identifiers for Dr Jennifer Van Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396974572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5912 (Nevada)Secondary
122300000XDentist 5912 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Van Wagoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennifer Van Wagoner, DMD
P.o. Box 880,
St. Ignatius, MT 59865

Ph: (406) 745-3525
Dr Jennifer Van Wagoner, DMD
35401 Mission Dr,
St. Ignatius, MT 59865

Ph: (406) 745-3525

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› Verified 9 days ago


Dentist in St. Ignatius, MT

Dr. Stephanie Penturf Shealy, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 308 Mission Drive, St. Ignatius, MT 59865
Phone: 406-745-3525    Fax: 406-745-4235
Tanner L. Diggs, DENTIST
Dentist
Medicare: Medicare Enrolled
Practice Location: 35401 Mission Dr., St. Ignatius, MT 59865
Phone: 218-878-2163    
Dr. Sarin Mckenna, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 35401 Mission Drive, St. Ignatius, MT 59865
Phone: 406-745-3525    Fax: 406-745-3529

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