Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNAH CASTLEMAN WAGNER, DMD
Active Sole ProprietorJENNAH CASTLEMAN WAGNER, DMD is a Periodontology healthcare provider located in ANNAPOLIS, Maryland. NPI 1245759976 is currently active in the NPPES registry. Verify at CMS.
Periodontology · ANNAPOLIS, MD
Registration Details
- NPI Number
- 1245759976
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2017 (8.956428835222 yrs)
- Last Updated
- Jan 20, 2026
- Licenses
-
33499 (TX)18973 (MD)33499 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 FORBES ST STE 204ANNAPOLIS, MD, 214011598Browse MD providers · Browse ZIP 21401
- Phone
- 4102951000
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Dentist
Other Periodontology Providers in ANNAPOLIS, MD
| Name | Credential | NPI |
|---|---|---|
| DR. LAWRENCE A NURIN | DDS | 1942298658 |
| DR. ROBERT A. BOUFFARD | DENTIST | 1730150905 |
| RAMZ KHLEIF | — | 1740333004 |
| DR. DEBORAH ODELL | DDS | 1518168715 |
| DR. CARY BLY | DDS | 1326351990 |
| DR. ANGELA MIELE | DMD | 1164735734 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.