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

Jamison Jenkins Wagner, DDS

Individual provider Dentist · NPI 1831881697

Jamison Jenkins Wagner, DDS is a Dentist in Stansbury Park, Utah. Licensed in Utah. Registered with an NPI since 2023.

Licensed in
UT
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

263 Country Clb Ste 103
Stansbury Park, UT 84074-9602
Phone: (801) 918-0960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 13420053-9921 (UT)

Record details

NPI number1831881697
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 9, 2023
Mailing address3042 E 3900 S, Salt Lake City, UT 84124-2042

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