IndividualActive
Jennah Wagner, DMD
NPI 1245759976 · Periodontics · Annapolis, MD
Provider details
- NPI number
- 1245759976
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 33499 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
104 Forbes St Ste 204
Annapolis, MD 21401-1598
Phone: (410) 295-1000
Approximate (ZIP-level) locationGet directions
Mailing address
8143 Ridgely Loop
Severn, MD 21144-2835
Additional practice locations (2)
- 2600 Longstone Ln Ste 101Marriottsville, MD 21104-1530Phone: (410) 442-0103
- 20 Crossroads Dr Ste 110Owings Mills, MD 21117-5480Phone: (410) 363-2500
Registry dates
- Enumerated
- 2017-09-13
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.