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LESLIE A WAGNER
NPI 1639699036
Dentist - General Practice in Boise, ID

Active since June 27, 2017
1212 N COLE RD, BOISE, ID 83704(208) 901-7451 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jun 27, 2017 (2 updates tracked since 2017).

About Leslie A Wagner NPPES

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

LESLIE A WAGNER (NPI 1639699036) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D4846) and active in the NPI registry since June 2017. She maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1639699036
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLESLIE A WAGNER
Location Address1212 N COLE RDBoise, ID 83704-8646
Mailing Address4239 E Hardesty CtBoise, ID 83716 · (208) 869-5139
Phone(208) 901-7451
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1639699036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D4846
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1212 N COLE RD, Boise, ID 83704
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Secondary Practice Location 1

Location 18850 W Emerald St Ste 150Boise, ID 83704-4809 · Phone (208) 323-2294

Accepted Insurance

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HD BOISE DENTAL, LLC
Dentist (General Practice)
1212 N COLE RD
BOISE, ID 83704
Ada County (208) 375-4253
DR. BRADLEY ROBERTSON D.D.S
Dentist (General Practice)
1212 N COLE RD
BOISE, ID 83704
Ada County (208) 322-1747
JASON CHAMPAGNE IDAHO 2, PLLC
Dentist (General Practice)
1212 N COLE RD
BOISE, ID 83704
Ada County (208) 375-4253
DR. TROTTER VAUGHAN DDS
Dentist
1212 N COLE RD
BOISE, ID 83704
Ada County (208) 375-4253
ART DENTAL
Dentist (General Practice)
1212 N COLE RD
BOISE, ID 83704
Ada County (208) 375-3755
BLANCHARD DDS PC
Clinic/Center (Dental)
1212 N COLE RD
BOISE, ID 83704
Ada County (208) 375-4253

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 Leslie Wagner's NPI number?

The NPI number for Leslie Wagner is 1639699036. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Leslie Wagner located?

Leslie Wagner practices at 1212 N Cole Rd, Boise, ID 83704. The listed phone number is (208) 901-7451.

What is Leslie Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Leslie Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Leslie 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 Leslie Wagner was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.