Individual provider · Type 1 NPI
Kevin Joseph Wagner, DMD
Dentist · Pocatello, ID
Practice location
921 S 8th Avenue Stop 8088
Pocatello, ID 83201
Mailing address
4170 Hawthorne Rd Apt A307
Chubbuck, ID 83202-2738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | D-5422 (ID) |
Dentist: 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 requiremen…
Other dentist providers in Pocatello
- Duane J. Williams, DMDDentist Pocatello, ID NPI 1023194206
- Tyler Geyen, DDSDentist Pocatello, ID NPI 1023422078
- Chad Reilly Pexton, DDSDentist Pocatello, ID NPI 1043105703
- Nicola G. ZabouraDentist Pocatello, ID NPI 1063082543
- Scott PerkinsDentist Pocatello, ID NPI 1083284897
- William Jared Terry, DMDDentist Pocatello, ID NPI 1093876328
- Erik Z. Solberg, DDSDentist Pocatello, ID NPI 1124373949
- Julia KrekDentist Pocatello, ID NPI 1154939619
About NPI 1558094508
Kevin Joseph Wagner, DMD's National Provider Identifier is 1558094508, issued on Jul 7, 2022. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 7, 2022.