JENNAH CASTLEMAN WAGNER
NPI 1245759976
Dentist - Periodontics in Fort George G Meade, MD

NPI Status: Active since September 13, 2017

Contact Information

2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD
ZIP 20755
Phone: (301) 677-8956

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  • Individual
  • Female
  • Dentist
  • Periodontics

About JENNAH WAGNER

This page provides the complete NPI Profile along with additional information for Jennah Wagner, a provider established in Fort George G Meade, Maryland with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1245759976 assigned on September 2017. The practitioner's primary taxonomy code is 1223P0300X with license number 33499 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1245759976
Provider Name
JENNAH CASTLEMAN WAGNER
Gender
Female
Entity Type
Individual
Location Address
2480 LLEWELLYN AVE FORT GEORGE G MEADE, MD 20755
Location Phone
(301) 677-8956
Mailing Address
7803 ARBOR GROVE DR APT 324 HANOVER, MD 21076
Is Sole Proprietor?
No
Enumeration Date
09-13-2017
Last Update Date
07-21-2022
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A dentist like Jennah Wagner is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
33499
License State
TX
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

33499 (TX)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245759976
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228514518914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 4 + 5 + 1 + 8 + 9 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1245759976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194727131DR. ERIKA V. BARGER MD
Individual
Family Medicine2480 LLEWELLYN AVE
FORT GEORGE G MEADE, MD 20755
(301) 677-8179
1689664443MS. MARGUERITE ANNETTE MORRISON RN, BS, COHN-S
Individual
Registered Nurse (Occupational Health)2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8391
1104816974MS. JOAN D. TWIGG RN, BS, OHN
Individual
Registered Nurse (Occupational Health)2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8389
1346230125MR. TERRENCE JOHN HEIDENREITER RNC
Individual
Nurse Practitioner (Women's Health)2480 LLEWELLYN AVE RED TEAM
FT MEADE, MD 20755
(301) 677-8949
1730179284DR. SUSAN A DEMUTH M.D.
Individual
Pediatrics2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8641
1558351684MRS. CHUNHUI J KIM RN, BSN, COHN-S
Individual
Registered Nurse (Occupational Health)2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8390
1497746549MR. KENNETH M JOHNSON LPN
Individual
Licensed Practical Nurse2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8394
1104807320DR. LINDA L GEORGE M.D.
Individual
Specialist2480 LLEWELLYN AVE
FORT MEADE, MD 20755
(301) 677-8270
1164403853DR. MICHAEL DENNIS MAGUIRE M.D.
Individual
Internal Medicine (Cardiovascular Disease)2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
(301) 677-8270
1497736243MR. RANDY DANIEL MCDONALD CRNA
Individual
Nurse Anesthetist, Certified Registered2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
(301) 677-8011
1508847849DR. DAVID R. MILLER PH.D.
Individual
Psychologist (Clinical)2480 LLEWELLYN AVE
FORT GEORGE MEADE, MD 20755
(301) 677-8449
1700868429DR. LISA OH LAUREL PHARM D
Individual
Pharmacist2480 LLEWELLYN AVE
FORT MEADE, MD 20755
(301) 677-8611
1790760072MR. NORMAN NOWAK BIRCHER PAC
Individual
Physician Assistant (Medical)2480 LLEWELLYN AVE ATTN: MCXR-CR . KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
(301) 677-8270
1558346791DR. DONALD EDWARD POTTER M.D.
Individual
Family Medicine2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CLINIC
FT MEADE, MD 20755
(301) 677-8270
1720063803DR. MANJULA BASU M.D.
Individual
Pediatrics2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER
FT MEADE, MD 20755
(301) 677-8270
1104801000 KAREN B. CLEAVER FNP
Individual
Nurse Practitioner (Family)2480 LLEWELLYN AVE
FORT MEADE, MD 20755
(301) 677-8670
1689650244MR. JOHN CHRISTOPHER HUBBARD PAC
Individual
Physician Assistant (Medical)2480 LLEWELLYN AVE
FORT MEADE, MD 20755
(301) 677-8874
1255318010 FERNANDO LUIS ORTIZ M.D
Individual
Family Medicine2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8270
1124006572 ROSEMARIE DENNIS RUDDICK
Individual
Physical Therapist2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8466
1619947884MRS. DEIRDRE O'REILLY SMITH RN, ANP-C
Individual
Nurse Practitioner (Adult Health)2480 LLEWELLYN AVE
FT MEADE, MD 20755
(301) 677-8333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245759976, enumerated in the NPI registry as an "individual" on September 13, 2017

The provider is located at 2480 Llewellyn Ave Fort George G Meade, Md 20755 and the phone number is (301) 677-8956

The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on September 13, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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