EDWARD C WAGNER (NPI# 1740393917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740393917 |
| Entity Type | Individual |
| Full Name | EDWARD C WAGNER |
| Credential | DMD |
| Practice Address |
2031 E Hospitaltiy Ln Ste 100 Boise ID 83716 |
| Practice Telephone | 2083339999 |
| Mailing Telephone | 2083339999 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3528 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310860 | Edward T Wagner IIi | Counselor | 201 N 4th Ave Ste 201, Royersford, PA 19468-1952 | 2020-03-09 |
| 1568435741 | Edward Steven Wagner | Obstetrics & Gynecology | 4330 Sheridan St, Ste 101, Hollywood, FL 33021 | 2006-02-09 |
| 1508388935 | Edward Wagner | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-07 |
| 1487799474 | Edward Arthur Wagner | Internal Medicine | 25500 Rancho Niguel Rd, Suite 240, Laguna Niguel, CA 92677-7373 | 2007-02-20 |
| Street Address |
2031 E HOSPITALTIY LN STE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790294973 | The Pt Next Door | Clinic/Center | 6098 E. Grand Prairie Drive, Boise, ID 83716 | 2017-09-20 |
| 1326577610 | Koreen Boydstun | Specialist/Technologist | 3301 Sweetwater Dr, Boise, ID 83716 | 2017-06-08 |
| 1558806117 | Katie Palmer | Behavioral Analyst | 2939 S Shadywood Way, Boise, ID 83716 | 2017-01-05 |
| 1245680099 | Elaine Key Md Pllc | Anesthesiology | 3919 E Timbersaw Dr, Boise, ID 83716 | 2016-06-13 |
| 1174993463 | Daria Elizabeth Karas | Physician Assistant | 8000 S. Federal Way, Boise, ID 83716 | 2015-09-30 |
| 1407239973 | Humangood Idaho | Skilled Nursing Facility | 5301 E Warm Springs Ave, Boise, ID 83716 | 2015-07-02 |
| 1225460066 | Katherine Elizabeth Turnbull | Nurse Practitioner | 2051a E Summersweet Dr, Boise, ID 83716 | 2013-08-03 |
| 1134483845 | Karen D Lodge | Pharmacist | 5211 S Farmhouse Pl, Boise, ID 83716 | 2012-06-27 |
| 1730341827 | Christopher A Thomason | Dentist | 5898 S Quamash Way, Boise, ID 83716 | 2008-06-30 |
| 1861515637 | Tyler John Harrington | Dentist | 2033 E Summersweet Dr, Boise, ID 83716 | 2007-04-09 |
| Find all providers in zip 83716 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273635 | Atlantis Dental Care, P.a. | Dentist | 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 | 2020-07-24 |
| 1235747338 | Dentists of Boise and Orthodontics, PC | Dentist | 7500 W State St Ste 110, Boise, ID 83714-6074 | 2020-07-15 |
| 1346895232 | Tejasi Avasare | Dentist | 8321 W Overland Rd, Boise, ID 83709-1640 | 2019-08-07 |
| 1528610359 | Melissa Marie Pysnak | Dentist | 8850 W Emerald St Ste 150, Boise, ID 83704-4809 | 2019-07-11 |
| 1124684584 | Trevor Tafoya Dds Victory Dental, Pllc | Dentist | 7421 W Victory Rd, Boise, ID 83709-5106 | 2019-05-11 |
| 1982260360 | Brant Burbank | Dentist | 4255 N Eagle Rd Ste 102, Boise, ID 83713-0701 | 2019-05-11 |
| 1972023398 | Northview Dental Partnership LLC | Dentist | 7480 W Northview St, Boise, ID 83704-7232 | 2017-06-27 |
| 1962939421 | Travis Jon Weimer | Dentist | 8336 W Northview St, Boise, ID 83704-7132 | 2017-05-16 |
| 1922480284 | Jonathan W Pluid | Dentist | 4274 N Eagle Rd, Boise, ID 83713-0726 | 2015-06-23 |
| 1922489673 | Gray Team LLC | Dentist | 813 N Stilson Rd, Ste:b, Boise, ID 83703-5119 | 2015-06-17 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.