Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225019201 Individual Practitioner Male Practitioner

Dr. Bradley Duane Wagoner , DDS

Dentist - General Practice • Marion, IA

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Wagoner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Marion, IA. Practice services are available at 955 31ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

955 31st St

Marion, IA 523023788

Telephone 3193774867
Fax 3193774383
Associated Practice Facility / Clinic
🏢 Marion Dental, Pc Facility NPI 1730480013

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marion, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Marion, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 6894

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0207225 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1457559213

Doctor of Dental Surgery

Dr. Erin Lacey , DDS

Dentist - General Practice

NPI 1689778680

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 955 31ST ST, MARION, IA 523023788 (Tel: 3193774867)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3400 CROWN AVE, MARION, IA 523021446 (Tel: 3193730322)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as BRADLEY WAGONER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #6894 in IA)

🟢
Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225019201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3400 Crown Ave

Marion, IA 523021446

Phone: 3193730322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.