Bradley Duane Wagoner, DDS

General Practice Dentistry · Marion, IA

Individual Active NPI

NPI number 1225019201

Practice location

955 31st St
Marion, IA 52302-3788
Phone
(319) 377-4867
Fax
(319) 377-4383

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NPI record

NPI
1225019201
Entity type
Individual (Type 1)
Enumeration date
November 8, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6894 IA

Mailing address

3400 Crown Ave
Marion, IA 52302-1446
Phone
(319) 373-0322

About Dr. Wagoner

Bradley Duane Wagoner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 955 31st St, Marion, IA 52302-3788. The NPI number 1225019201 was assigned on November 8, 2005 and the record was last updated on July 13, 2026.

Dr. Wagoner lists a license in the registry: #6894 (IA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bradley Duane Wagoner, DDS?

The NPI number is 1225019201.

What is the phone number of Dr. Wagoner?

The phone number listed for the practice location is (319) 377-4867.

Where is Dr. Wagoner located?

955 31st St, Marion, IA 52302-3788.

What is the taxonomy code for Dr. Wagoner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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