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Search › Idaho › General Practice Dentistry

Brandon Wagner, DDS

NPI 1265002901 · on the registry since 2021 · sole proprietor

Practice

Address
403 S 11th St Ste 200
Boise, ID 83702
Phone
(208) 342-3440
Organisation at this address
Epp Idaho Pllc
Morrell Dental
Oster Medical Group
Casey Chiropractic Pa
Alpine Surgical Arts Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho