person
Dr. Elaine C. Wagner, DDS
Pediatric Dentist in Jacksonville, Florida
NPI 1366402042

Elaine C. Wagner is a Pediatric Dentist based in Jacksonville, FL and is specialized in Pediatric Dentistry. Elaine C. Wagner practices in Jacksonville, FL and has the professional credentials of DDS. The NPI Number for Elaine C. Wagner is 1366402042 and holds a License No. 7979 (Florida).

The current practice location address for Elaine C. Wagner is J Mustin Rd, Jacksonville, FL and can be reached out via phone at 904-542-7312 and via fax at 904-542-7307. You can also correspond with Elaine C. Wagner through the mailing address at J MUSTIN RD, JACKSONVILLE, FL - 32212-1128 (mailing address contact number: 904-542-7312).

Location: J Mustin Rd, Jacksonville, FL, 32212-1128
person
Provider Profile Details
NPI Number
1366402042
Provider Name
Elaine C. Wagner
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
J Mustin Rd, Jacksonville, FL, 32212-1128
Phone Number
904-542-7312
Fax Number
904-542-7307
Provider Enumeration Date
03/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
J Mustin Rd
City
State
Zip
32212-1128
Phone Number
904-542-7312
Fax Number
904-542-7307
person
Provider Business Mailing Address Details
Address
J Mustin Rd
City
State
Zip
32212-1128
Phone Number
904-542-7312
Fax Number
904-542-7307
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
7979 (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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