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

Leslie A Wagner

Individual provider General Practice Dentistry · NPI 1639699036

Leslie A Wagner is a General Practice Dentistry in Boise, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017

Practice location Address checks out

1212 N Cole Rd
Boise, ID 83704-8646
Phone: (208) 901-7451
Show map & directions

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

Additional practice locations (1)

  • 8850 W Emerald St Ste 150, Boise, ID 83704-4809 — (208) 323-2294

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4846 (ID)

Record details

NPI number1639699036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESMarch 17, 2018
Mailing address4239 E Hardesty Ct, Boise, ID 83716

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