Active NPI 1629166798 Individual Practitioner Male Practitioner

Dr. Thomas Wilson Waggener , DDS

Dentist - General Practice • Waco, TX

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Waggener, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waco, TX. Practice services are available at 4535 LAKE SHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4535 Lake Shore Dr

Waco, TX 767101814

Telephone 2547767622

Fax 2547767673

Associated Practice Facility / Clinic

🏢 Lake Shore Dental Group Pllc Facility NPI 1093487555

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waco, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.3 Yrs

State Avg: 12.3 Yrs

Regional Practice Density

67 Specialists

Practicing in Waco, 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 11868

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

0086746-01 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jerry Lance , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1144421868

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 November 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2016

Registered at 4535 LAKE SHORE DR, WACO, TX 767101814 (Tel: 2547767622)

📍

Updated Business Mailing Address November 11, 2016

Registered at 4535 LAKE SHORE DR, WACO, TX 767101814 (Tel: 2547767622)

👤

Provider Name / Credentials Updated November 11, 2016

Recorded as THOMAS WAGGENER, D.D.S.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2016

Dentist (License #11868 in TX)

🟢

Initial NPI Registration & Enumeration October 11, 2006

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: 1629166798

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 11, 2006

Last Update: November 11, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4535 Lake Shore Dr

Waco, TX 767101814

Phone: 2547767622

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.