OrganizationActive
Wagner Family Dental
NPI 1104209790 · Dentist · Jasper, IN
Wagner Family Dental is a Dentist organization in Jasper, IN (NPI 1104209790).
Provider details
- NPI number
- 1104209790
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brian Wagner, Owner(812) 482-4347
- License
- 12010568A (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4115 Mannheim Rd
Jasper, IN 47546-2964
Phone: (812) 482-4347
Street-level locationGet directions
Mailing address
Po Box 712
Jasper, IN 47547-0712
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2015-07-01
Frequently asked questions
- What is Wagner Family Dental's NPI number?
- Wagner Family Dental's National Provider Identifier (NPI) is 1104209790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Family Dental?
- Wagner Family Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Wagner Family Dental located?
- Wagner Family Dental's practice location on file with NPPES is 4115 Mannheim Rd, Jasper, IN 47546-2964.
- What is Wagner Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Wagner Family Dental is (812) 482-4347.
- Who is the authorized official for Wagner Family Dental?
- The authorized official listed on Wagner Family Dental's NPPES record is Brian Wagner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Family Dental's NPI active?
- Yes — Wagner Family Dental's NPI (1104209790) is active in the NPPES registry as of the last update on 2015-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.