Dr. Elyse A Wagner, DMD
Dentist, Prosthodontics in Newton Centre, Massachusetts
1023509007- Practice location
- 93 Union St Ste 402, Newton Centre, MA 02459-2241
- Phone
- 179-650-0606
- Fax
- —
- Last updated
- May 7, 2021
Elyse Anne Wagner is a Dentist, Prosthodontics based in Newton Centre, MA. Elyse Anne Wagner practices in Newton Centre, MA and has the professional credentials of DMD. The NPI Number for Elyse Anne Wagner is 1023509007 and holds a License No. DN1858351 (MA). The current practice location address for Elyse Anne Wagner is 93 Union St Ste 402, Newton Centre, MA 02459-2241 and can be reached out via phone at 179-650-0606.
Provider Profile Details
- NPI Number
- 1023509007
- Provider Name
- Elyse Anne Wagner
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 93 Union St Ste 402, Newton Centre, MA 02459-2241
- Phone Number
- 179-650-0606
- Primary Taxonomy
- Dentist, Prosthodontics · 1223P0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 24, 2018
- Last Update Date
- May 7, 2021
- Certification Date
- May 7, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 93 Union St Ste 402
Newton Centre, MA 02459-2241 - City
- Newton Centre
- State
- Massachusetts
- Zip
- 02459-2241
- Phone Number
- 179-650-0606
Provider Business Mailing Address Details
- Address
- 93 Union St Ste 402
Newton Centre, MA 02459-2241 - City
- Newton Centre
- State
- MA
- Zip
- 02459-2241
- Phone Number
- 617-965-0060
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- DN1858351
- License State (2)
- MA
- Taxonomy (2)
- Dentist, Prosthodontics · 1223P0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Elyse A Wagner, DMD?
The NPI number of Dr. Elyse A Wagner, DMD is 1023509007. It was assigned on May 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Elyse A Wagner, DMD?
Dr. Elyse A Wagner, DMD is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in MA under license number DN1858351.
Where does Dr. Elyse A Wagner, DMD practice?
The practice location is 93 Union St Ste 402, Newton Centre, MA 02459-2241. The office can be reached at 179-650-0606 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023509007 directly on the NPPES registry website.