# JOEL M. WAGONER, DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548676919
- **Authorized official:** DR. JOEL M WAGONER DDS (OWNER)
- **Authorized official phone:** (919) 968-9697

## Contact information

- **Practice address:** 77 VILCOM CENTER DR, CHAPEL HILL, NC 27514-1788
- **Practice address phone:** (919) 968-9697
- **Mailing address:** 77 VILCOM CENTER DR, CHAPEL HILL, NC 27514-1788
- **Mailing address phone:** (919) 968-9697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4126 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 8321 | NC | — |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 07/07/2014