Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wagner Family Dental

Organization Dentist · NPI 1104209790

Wagner Family Dental is a Dentist in Jasper, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015

Practice location Address checks out

4115 Mannheim Rd
Jasper, IN 47546-2964
Phone: (812) 482-4347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12010568A (IN)

Record details

NPI number1104209790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Wagner — Owner · (812) 482-4347
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 1, 2015
Mailing addressPo Box 712, Jasper, IN 47547-0712

Other providers in Jasper