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: July 19, 2026.

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

  • 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)
1122300000XDental Providers

Dentist

33499 (TX)
21223P0300XDental Providers

Dentist
Periodontics

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.