Individual provider · Type 1 NPI
Charles Allen Wagner, DDS
General Practice Dentistry · Idaho Falls, ID
NPI number
1982760153
Active
Practice location
2860 Valencia Dr
Idaho Falls, ID 83404-7597
Mailing address
6950 NE Campus Way
Hillsboro, OR 97124-5611
Other practice locations
- 773 Golf View Dr, Medford, OR 97504-9643 · (541) 857-2790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2971138 (ID) |
| General Practice Dentistry | 1223G0001X | D7442 (OR) |
General Practice Dentistry: 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.
Other general practice dentistry providers in Idaho Falls
- Ryan T. Kidman, DDSGeneral Practice Dentistry Idaho Falls, ID NPI 1033280136
- Mark Asael Tall, DDSGeneral Practice Dentistry Idaho Falls, ID NPI 1063515062
- Ron D. Sheppard, DDSGeneral Practice Dentistry Idaho Falls, ID NPI 1063560175
- Justin Dennis Bell, DDSGeneral Practice Dentistry Idaho Falls, ID NPI 1124035498
- Zachary Rulon Trost, DMDGeneral Practice Dentistry Idaho Falls, ID NPI 1124959218
- Brandon Thomas Jacobson, DMDGeneral Practice Dentistry Idaho Falls, ID NPI 1164219093
- Esther B. Machen, DDSGeneral Practice Dentistry Idaho Falls, ID NPI 1194046037
- Michael Aaron Elison, DMDGeneral Practice Dentistry Idaho Falls, ID NPI 1205864832
About NPI 1982760153
Charles Allen Wagner, DDS's National Provider Identifier is 1982760153, issued on Dec 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 29, 2026.