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

Mark Wagner

Individual provider Dentist · NPI 1265863112

Mark Wagner is a Dentist in Pikesville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2013

Practice location Address checks out

24 Old Plantation Way
Pikesville, MD 21208-6375
Phone: (410) 653-6886
Fax: (410) 653-6986
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14948 (MD)

Record details

NPI number1265863112
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2013
Last updated in NPPESDecember 3, 2013

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