Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANDON MARK WAGNER, DDS
Active Sole ProprietorDR. BRANDON MARK WAGNER, DDS is a General Dentistry healthcare provider located in BOISE, Idaho. NPI 1265002901 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BOISE, ID
Registration Details
- NPI Number
- 1265002901
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2021 (5.1122388700884 yrs)
- Last Updated
- Sep 8, 2025
- License
-
D-5306 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
403 S 11TH ST STE 200BOISE, ID, 837026968Browse ID providers · Browse ZIP 83702
- Phone
- 2083423440
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. HELEN HALLQUIST HARLESS | D.D.S. | 1699751560 |
| BRANDON L TAYLOR | DMD | 1760451306 |
| DR. FRANK ALAN WALKER JR. | DMD | 1154380277 |
| DR. ROBERT T PECK | DMD | 1003874140 |
| DR. DAVID MICHAEL MUNRO | DDS | 1497703771 |
| DAVID WILLIAM CUTLER | DDS | 1417996596 |
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.