JENNAH CASTLEMAN WAGNER DMD
NPI 1245759976
Dentist - Periodontics in Annapolis, MD

Active since September 13, 2017
104 FORBES ST STE 204, ANNAPOLIS, MD 21401(410) 295-1000 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Jan 16, 2026, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Jennah Castleman Wagner Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNAH CASTLEMAN WAGNER DMD (NPI 1245759976) is an individual periodontics provider in Annapolis, Maryland, licensed in Maryland (18973) and active in the NPI registry since September 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245759976
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJENNAH CASTLEMAN WAGNERCredential: DMD
Location Address104 FORBES ST STE 204Annapolis, MD 21401-1598
Mailing Address8143 Ridgely LoopSevern, MD 21144-2835
Sole ProprietorYes
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJanuary 20, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
NPI 1245759976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in MD · 18973 Licensed in TX · 33499
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 33499 (TX)
104 FORBES ST STE 204, Annapolis, MD 21401

Secondary Practice Locations 2

Location 120 Crossroads Dr Ste 110Owings Mills, MD 21117-5480 · Phone (410) 363-2500
Location 22600 Longstone Ln Ste 101Marriottsville, MD 21104-1530 · Phone (410) 442-0103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennah Wagner's NPI number?

The NPI number for Jennah Wagner is 1245759976. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Jennah Wagner located?

Jennah Wagner practices at 104 Forbes St Ste 204, Annapolis, MD 21401. The listed phone number is (410) 295-1000.

What is Jennah Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jennah Wagner was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.