Robert Kemp Van Wagenen, DDS is a general practice dentist in Fort Drum, NY. The provider is 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. Robert Kemp Van Wagenen, DDS NPI is 1942752837. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10590 ENDURING FREEDOM DR
FORT DRUM, NY
ZIP 13602-503
Phone: (719) 666-1879
The NPI 1942752837 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/26/2016 and was last updated on 12/11/2023.