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Dr. Kevin Joseph Wagner, DMD
Dentist in Pocatello, Idaho
NPI 1558094508

Kevin Joseph Wagner is a Dentist based in Chubbuck, ID. Kevin Joseph Wagner practices in Pocatello, ID and has the professional credentials of DMD. The NPI Number for Kevin Joseph Wagner is 1558094508 and holds a License No. D-5422 (Idaho).

The current practice location address for Kevin Joseph Wagner is 921 S 8Th Avenue Stop 8088, Pocatello, ID and can be reached out via phone at 609-923-0168.

Location: 921 S 8Th Avenue Stop 8088, Pocatello, ID, 83202-2738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558094508
Provider Name
Kevin Joseph Wagner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
921 S 8Th Avenue Stop 8088, Pocatello, ID, 83202-2738
Phone Number
609-923-0168
Fax Number
Provider Enumeration Date
07/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
921 S 8Th Avenue Stop 8088
City
Pocatello
State
Idaho
Zip
83201
Phone Number
609-923-0168
Fax Number
person
Provider Business Mailing Address Details
Address
921 S 8Th Avenue Stop 8088
City
Pocatello
State
Idaho
Zip
83201
Phone Number
609-923-0168
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
D-5422 (Idaho)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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