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DR. KEVIN JOSEPH WAGNER DMD
NPI 1558094508
Dentist in Pocatello, ID

Active since July 07, 2022
921 S 8TH AVENUE STOP 8088, POCATELLO, ID 83201(609) 923-0168 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Joseph Wagner Dmd NPPES

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

DR. KEVIN JOSEPH WAGNER DMD (NPI 1558094508) is an individual dentist in Pocatello, Idaho, licensed in Idaho (D-5422) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1558094508
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEVIN JOSEPH WAGNERCredential: DMD
Location Address921 S 8TH AVENUE STOP 8088Pocatello, ID 83201
Mailing Address4170 Hawthorne Rd Apt A307Chubbuck, ID 83202-2738
Phone(609) 923-0168
Sole ProprietorNo
Enumeration DateJuly 7, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1558094508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-5422
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
921 S 8TH AVENUE STOP 8088, Pocatello, ID 83201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Kevin Wagner's NPI number?

The NPI number for Kevin Wagner is 1558094508. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Kevin Wagner located?

Kevin Wagner practices at 921 S 8th Avenue Stop 8088, Pocatello, ID 83201. The listed phone number is (609) 923-0168.

What is Kevin Wagner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kevin Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Kevin Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Wagner was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.