JENNAH CASTLEMAN WAGNER DMD
NPI 1245759976
Dentist - Periodontics in Annapolis, MD
- Individual
- Female
- Dentist
- Periodontics
About JENNAH WAGNER
This page provides the complete NPI Profile along with additional information for Jennah Wagner, a provider established in Annapolis, Maryland with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1245759976 assigned on September 2017. The practitioner's primary taxonomy code is 1223P0300X with license number 18973 (MD). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1245759976 Verify this NPI
- Provider Name
- JENNAH CASTLEMAN WAGNER DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 104 FORBES ST STE 204 ANNAPOLIS, MD 21401
- Location Phone
- (410) 295-1000
- Mailing Address
- 8143 RIDGELY LOOP SEVERN, MD 21144
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-13-2017
- Last Update Date
- 01-20-2026
- Code Navigator
A dentist like Jennah Wagner is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 20 Crossroads Dr Ste 110
Owings Mills, MD 21117
(410) 363-2500 - 2600 Longstone Ln Ste 101
Marriottsville, MD 21104
(410) 442-0103
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 18973
- License State
- MD
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 33499 (TX) |
| 2 | 1223P0300X | Dental Providers | Dentist | 33499 (TX) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245759976, enumerated as an "individual" on September 13, 2017.
The provider is located at 104 FORBES ST STE 204 ANNAPOLIS, MD 21401 and the phone number is (410) 295-1000.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.