Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Katie-Rose Radin Wagner, DDS

Individual provider Dentist · NPI 1760793087

Dr. Katie-Rose Radin Wagner, DDS is a Dentist in Somerville, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2010
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6 Kensington Ave
Somerville, MA 02145-2107
Phone: (617) 623-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1855704 (MA)

Record details

NPI number1760793087
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 1, 2010
Last updated in NPPESMarch 19, 2012

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