Frank T. Waggoner Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7816 Issued in GA

Practice address

615 Green St NW
Gainesville, GA 30501-3319

Phone

(770) 536-1012

Fax

(770) 535-1980

NPI assigned

Aug 9, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952302309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013319",
            "telephone_number": "770-536-1012",
            "fax_number": "770-535-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013319",
            "telephone_number": "770-536-1012",
            "fax_number": "770-535-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "FRANK",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "7816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Jo Wacker, PA-C
• Amy Wadaga, OTR/L
• Andria Wade, RN, BSN
• Chloe Wade, PT, DPT
• David Michael Wade, PA
• Amanda Nicole Wagner, PA
• Christy Wagner, MD
• Laurieann Wagner, RN
• Jennifer Waite, AGACNP
• Kevin Douglas Waits, MD

• General Practice Dentistry in Gainesville, GA
• Providers in Gainesville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.