Dr. Kevin Joseph Wagner is a Pocatello, Idaho based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kevin Joseph Wagner is
D-5422 for Dentistry in Idaho. His current practice location is
921 S 8th Avenue Stop 8088, Pocatello. Patients can reach him at
609-923-0168.
Dr. Kevin Joseph 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. Kevin Joseph 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. Kevin Joseph Wagner |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 921 S 8th Avenue Stop 8088, Pocatello,
Idaho, 83201 |
| Phone: | 609-923-0168 |
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: | 1558094508 |
| NPI Enumeration Date: | 07 Jul, 2022 |
| NPI Last Update On: | 07 Jul, 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. Kevin Joseph Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| D-5422 | Dentistry | Idaho | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4170 Hawthorne Rd Apt A307,
Chubbuck, Idaho |
| Zip: | 83202-2738 |
Patients can reach Dr. Kevin Joseph Wagner at
921 S 8th Avenue Stop 8088, Pocatello, Idaho or can
call to book an appointment on 609-923-0168.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.