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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELYSE ANNE WAGNER, DMD

Active

DR. ELYSE ANNE WAGNER, DMD is a Pediatric Dentistry healthcare provider located in NEWTON CENTRE, Massachusetts. NPI 1023509007 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · NEWTON CENTRE, MA

Registration Details

NPI Number
1023509007
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2018 (8.1812722129223 yrs)
Last Updated
May 7, 2021
License
DN1858351 (MA)

Practice Information

Address
93 UNION ST STE 402
NEWTON CENTRE, MA, 024592241
Browse MA providers · Browse ZIP 02459
Phone
1796500606
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in NEWTON CENTRE, MA

Name Credential NPI
DR. STEPHEN RELLAS D.M.D. 1811046436
DR. HIDEO YAMAMOTO D.M.D. 1205987641
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.