DR. ELYSE ANNE WAGNER DMD NPI 1023509007

NPI Information

  • NPI: 1023509007
  • Provider Name: DR. ELYSE ANNE WAGNER, DMD
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 93 UNION ST STE 402
    NEWTON CENTRE, MA
    ZIP 02459
  • Phone: (179) 650-0606

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NPI Details

DR. Elyse Anne Wagner, DMD is a prosthodontics dentist in Newton Centre, MA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Elyse Anne Wagner, DMD NPI is 1023509007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

93 UNION ST STE 402
NEWTON CENTRE, MA
ZIP 02459-241
Phone: (179) 650-0606

The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223P0700XDentistProsthodonticsDN1858351MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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