Doctor profile · Federal record
Dr. Robert van Wagenen, DDS
General Practice Dentistry · Fort Drum, NY
- NPI 1942752837
- 10 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
10590 Enduring Freedom Dr
Fort Drum, NY 136025503
(719) 666-1879
Credentials & registration
- NPI registered
- October 2016 — 10 yrs on file
- Profile last updated
- December 11, 2023
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Colorado #DEN.00202992
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1942752837. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$2,276
Transactions
21
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 21 | $2,275.82 |
By nature of payment
Frequently asked questions
What is Dr. Robert van Wagenen's medical specialty?
Dr. Robert van Wagenen practices General Practice Dentistry in Fort Drum, NY.
Where does Dr. Robert van Wagenen practice?
Dr. Robert van Wagenen practices at 10590 Enduring Freedom Dr, Fort Drum, NY 136025503. Office phone: 7196661879.
What is Dr. Robert van Wagenen's NPI?
Dr. Robert van Wagenen's National Provider Identifier (NPI) is 1942752837, issued by NPPES.