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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1659545184

Dr. Elizabeth Ann Wagner, DMD is a Maxillofacial Surgery in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2005, 21 years ago. Practices with Lanzi Burke and Associates, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

100 E Lehigh Ave
Philadelphia, PA 19125-1012
Phone: (215) 707-3613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS036569 (PA)

Record details

NPI number1659545184
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Lanzi Burke And Associates, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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