Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871780262 Individual Practitioner Male Practitioner

Dr. Joseph Leo Waldvogel , DDS

Dentist - General Practice • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Waldvogel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Poplar Bluff, MO. Practice services are available at 1500 N WESTWOOD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 N Westwood Blvd

Poplar Bluff, MO 639013318

Telephone 5736864151
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1588622880

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Poplar Bluff, MO (2113 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 IL 019-016659

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

Commercial Insurance / Payer ID Dental Provider
12 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Maggie Buckley , MSW, LCSW

Social Worker - Clinical

NPI 1003359563

Master of Social Work, Licensed Clinical Social Worker

Dr. Amanda Flory , DO

Psychiatry & Neurology - Psychiatry

NPI 1013337120

Doctor of Osteopathic Medicine (D.O.)

Magen Barnes

Registered Nurse

NPI 1013841592
Kenda Davis , PTA

Physical Therapy Assistant

NPI 1023296803

Physical Therapist Assistant

Jolene Wolf , FNP

Nurse Practitioner

NPI 1033174115

Family Nurse Practitioner

Oscar Smith , RRT

Respiratory Therapist, Registered

NPI 1033977012

Registered Respiratory Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2015

Registered at 1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 639013318 (Tel: 5736864151)

📍
Updated Business Mailing Address September 17, 2015

Registered at 1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 639013318 (Tel: 5736864151)

👤
Provider Name / Credentials Updated September 17, 2015

Recorded as JOSEPH WALDVOGEL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2015

Dentist (License #019-016659 in IL)

🟢
Initial NPI Registration & Enumeration September 28, 2007

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: 1871780262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2007
Last Update: September 17, 2015
Sole Proprietor: Yes

Mailing Address

1500 N Westwood Blvd

Poplar Bluff, MO 639013318

Phone: 5736864151

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.