Dr. Robert Karl Waggener , DDS
Dentist - General Practice • Pueblo, CO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Waggener has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Waggener, DDS was a registered Dentist - General Practice practicing in Pueblo, CO. Throughout an active medical career spanning 17 years, Dr. Waggener provided care at the practice location at 4112 OUTLOOK BLVD until profile deactivation on 2023-08-02.
Practice Location & Contact Primary Location
4112 Outlook Blvd
Pueblo, CO 810081667
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Pueblo, CO
Practicing in Pueblo, CO (2613 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Doctor of Physical Therapy
Nurse Practitioner - Pediatrics
Certified Pediatric Nurse Practitioner
Occupational Therapist
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 02, 2023
NPI status registered as active in NPPES database
Registered at 4112 OUTLOOK BLVD, PUEBLO, CO 810081667 (Tel: 7195531065)
Registered at 12 ERICA CT, PUEBLO, CO 810011074 (Tel: 7195442030)
Recorded as ROBERT WAGGENER, DDS
Dentist (License #104577 in CO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
12 Erica Ct
Pueblo, CO 810011074
Phone: 7195442030
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