Kevin Wagner, DMD
NPI 1558094508 · on the registry since 2022
Practice
- Address
- 921 S 8th Avenue Stop 8088
Pocatello, ID 83201 - Phone
- (609) 923-0168
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-07
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