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Charles Wagner, DDS
NPI 1982760153 · on the registry since 2006
Practice
- Address
- 2860 Valencia Dr
Idaho Falls, ID 83404 - Phone
- (855) 433-6825
- Clinicians at this address
- 3
Additional practice sites
- 773 Golf View Dr, Medford, OR
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- ID, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-29
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