Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396974572 Individual Practitioner Female Practitioner

Dr. Jennifer Van Wagoner , DMD

Dentist • St. Ignatius, MT

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Van Wagoner, DMD is a registered healthcare professional specializing in Dentist in St. Ignatius, MT. Practice services are available at 35401 MISSION DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35401 Mission Dr

St. Ignatius, MT 59865

Telephone 4067453525
Fax 4067453529
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in St. Ignatius, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 51.5 Yrs
Regional Practice Density
5 Specialists

Practicing in St. Ignatius, MT (291 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NV 5912

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NV 5912

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

40 Associated Practitioners
NPI 1003230111

Doctor of Dental Medicine

Kianna Finley , RN

Registered Nurse

NPI 1003562976

Registered Nurse

NPI 1013039668

Doctor of Medicine (M.D.)

NPI 1013078336
Margit Groessler , NP-C

Nurse Practitioner - Family

NPI 1013169960

Nurse Practitioner (Certified)

Brenda Morton , RN

Registered Nurse

NPI 1013190644

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2014

Registered at 35401 MISSION DR, ST. IGNATIUS, MT 59865 (Tel: 4067453525)

📍
Updated Business Mailing Address October 17, 2014

Registered at P.O. BOX 880, ST. IGNATIUS, MT 59865 (Tel: 4067453525)

👤
Provider Name / Credentials Updated October 17, 2014

Recorded as JENNIFER VAN WAGONER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Dentist (License #5912 in NV)

🟢
Initial NPI Registration & Enumeration July 08, 2009

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: 1396974572
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2009
Last Update: October 17, 2014
Sole Proprietor: Yes

Mailing Address

P.o. Box 880

St. Ignatius, MT 59865

Phone: 4067453525

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.