Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750633483 Individual Practitioner Male Practitioner

Dr. Eric James Wagoner , DDS

Dentist - General Practice • Wake Forest, NC

Professional Overview & Biography Verified Profile Summary

Dr. Eric Wagoner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wake Forest, NC. Practice services are available at 835 WAKE FOREST BUSINESS PARK STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

835 Wake Forest Business Park Ste E

Wake Forest, NC 275877324

Telephone 9195707930

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wake Forest, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Wake Forest, NC (4047 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 NC 9367

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
5921749 (NC)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Michael Dearstyne , DDS

Dentist - General Practice

NPI 1467443044

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2017

Registered at 835 WAKE FOREST BUSINESS PARK STE E, WAKE FOREST, NC 275877324 (Tel: (919) 570-7930)

📍
Updated Business Mailing Address July 14, 2017

Registered at 835 WAKE FOREST BUSINESS PARK STE E, WAKE FOREST, NC 275877324 (Tel: (919) 570-7930)

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as ERIC WAGONER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Dentist (License #9367 in NC)

NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2012

Registered at 2064 NC HIGHWAY 125, ROANOKE RAPIDS, NC 278709436 (Tel: 2525365880)

📍
Updated Business Mailing Address October 04, 2012

Registered at PO BOX 640, ROANOKE RAPIDS, NC 278700640 (Tel: 2525365440)

👤
Provider Name / Credentials Updated October 04, 2012

Recorded as ERIC WAGONER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

Dentist (License #9367 in NC)

🟢
Initial NPI Registration & Enumeration October 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Eric Wagoner. Be the first to share your experience!

Sign in to leave a review for Dr. Eric Wagoner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1750633483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2012
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

835 Wake Forest Business Park Ste E

Wake Forest, NC 275877324

Phone: 9195707930

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.