Jennah Castleman Wagner, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18973 Issued in MD

Practice address

104 Forbes St Ste 204
Annapolis, MD 21401-1598

Phone

(410) 295-1000

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifetime Dental Care of Maryland, Badger, P.C.

  • Dentist
  • Owings Mills, MD
  • NPI 1609734995
  NPD (past)
• MC Donogh Dental Associates LLP

  • Dentist
  • Owings Mills, MD
  • NPI 1538131263
  NPD (past)
• Todd E. Patton DDS, LLC

  • Dental Clinic/Center
  • Annapolis, MD
  • NPI 1669780946
  NPD (past)
• Waverly Woods Aesthetic Dental

  • Dental Clinic/Center
  • Marriottsville, MD
  • NPI 1881366276
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1245759976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 RIDGELY LOOP",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST STE 204",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011598",
            "telephone_number": "410-295-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Crossroads Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175480",
            "country_code": "US",
            "telephone_number": "410-363-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Longstone Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marriottsville",
            "state": "MD",
            "postal_code": "211041530",
            "country_code": "US",
            "telephone_number": "410-442-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JENNAH",
        "middle_name": "CASTLEMAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33499",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "18973",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Morelock Waddell, DDS
• Vanessa L Wade
• Kristen Wadlington
• Ryan Matthew Wagener, RPH
• James M Wagner, D.C.
• Matthew Phillip Wagner, M.D.
• Priya Tahiliani Wagner, M.D.
• Sarah Wagner
• John Harvey Wagoner, M.D., PH.D., MBA
• Marjorie P Wagovich, PT

• Periodontics in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.