MRS. ALEXIS DAWN WAGONER (DA) – Dental Assistant, NPI 1083700231
Dental Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. ALEXIS DAWN WAGONER (DA)
3902, Cottonwood Street, Columbia Valley Gardens, Longview, Cowlitz County, Washington, 98632, United States
LONGVIEW, WA 986324911
Phone: (360) 425-7753
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98632)
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