Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720107717 Individual Practitioner Male Practitioner

Dr. Mark Bennett Waggoner , DDS

Dentist - General Practice • Plano, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mark Waggoner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Plano, TX. Practice services are available at 3104 HARVARD CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3104 Harvard Ct

Plano, TX 750933450

Telephone 9723336204

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
222 Specialists

Practicing in Plano, TX (10570 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 TX 13820

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.

Dentist - Dentist Anesthesiologist

NUCC Taxonomy Code: 1223D0004X

State License TX 13820

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 23, 2014

Registered at 3104 HARVARD CT, PLANO, TX 750933450 (Tel: 9723336204)

📍
Updated Business Mailing Address October 23, 2014

Registered at 3104 HARVARD CT, PLANO, TX 750933450 (Tel: 9723336204)

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Provider Name / Credentials Updated October 23, 2014

Recorded as MARK WAGGONER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Dentist (License #13820 in TX)

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Initial NPI Registration & Enumeration March 29, 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: 1720107717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: October 23, 2014
Sole Proprietor: Yes

Mailing Address

3104 Harvard Ct

Plano, TX 750933450

Phone: 9723336204

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.