Clyde E. Waggoner, DMD
Oral & Maxillofacial Surgery · Denver, CO
UnclaimedDMDNPI 1881757854
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2006-12-19
- Practice location
- Denver, CO
- Last NPPES update
- 2007-07-08
State licenses
- CO · Dentist · DENRetiredthrough 2028verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.