Dr. Elyse Anne Wagner, DMD
Dr. Elyse Anne Wagner, DMD is a Student in an Organized Health Care Education/Training Program in Newton Centre, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.
- Licensed in
- MA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
93 Union St Ste 402Newton Centre, MA 02459-2241
Phone: (179) 650-0606
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence DN1858351 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1023509007 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | May 24, 2018 |
| Last updated in NPPES | May 7, 2021 |
| Certification date | May 7, 2021 |
| Mailing address | 93 Union St Ste 402, Newton Centre, MA 02459-2241 |
Other providers in Newton Centre
-
Dr. Megan Raichelson, PSYD
199 Wells Ave Ste 102, Newton Centre, MA 02459-3320 · (617) 564-1540