Doctor profile · Federal record
Dr. Brandon Wagner, DDS
General Practice Dentistry · Boise, ID
- NPI 1265002901
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
403 S 11Th St Ste 200
Boise, ID 837026968
(208) 342-3440
Credentials & registration
- NPI registered
- June 2021 — 5 yrs on file
- Profile last updated
- September 8, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Idaho #D-5306
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265002901. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Philips North America LLC | 1 | $17.32 |
By nature of payment
Frequently asked questions
What is Dr. Brandon Wagner's medical specialty?
Dr. Brandon Wagner practices General Practice Dentistry in Boise, ID.
Where does Dr. Brandon Wagner practice?
Dr. Brandon Wagner practices at 403 S 11Th St Ste 200, Boise, ID 837026968. Office phone: 2083423440.
What is Dr. Brandon Wagner's NPI?
Dr. Brandon Wagner's National Provider Identifier (NPI) is 1265002901, issued by NPPES.