Wagner, Jennah Castleman

Wagner, Jennah Castleman is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort George G Meade MD 20755-7081. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Wagner, Jennah Castleman can be contacted via phone (301) 677-8956.

Contact Information

Primary practice address
2480 Llewellyn Ave Fort George G Meade MD 20755-7081
Phone: (301) 677-8956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 33499 Texas
Dental Providers / Periodontics 1223P0300X 33499 Texas

Profile Details

NPI number 1245759976
LBN Legal business name Wagner, Jennah Castleman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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