Dr. Brandon Mark Wagner is a Boise, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Brandon Mark Wagner is D-5306 for General Practice Dentistry in Idaho. His current practice location is 403 S 11th St Ste 200, Boise. Patients can reach him at 208-342-3440.
Dr. Brandon Mark Wagner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Brandon Mark Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Brandon Mark Wagner
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
403 S 11th St Ste 200, Boise, Idaho, 83702-6968
Phone:
208-342-3440
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1265002901
NPI Enumeration Date:
25 Jun, 2021
NPI Last Update On:
02 May, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brandon Mark Wagner are as mentioned below.
License Number
Specialization
State
Status
D-5306
General Practice Dentistry
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10926 Ragsdale Rd, Loma Linda, California
Zip:
92354-6546
Phone Number:
951-236-0882
Patients can reach Dr. Brandon Mark Wagner at 403 S 11th St Ste 200, Boise, Idaho or can call to book an appointment on 208-342-3440. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.