Dr. Elyse Anne Wagner
Prosthodontist
93 Union St Ste 402
Newton Centre
, Massachusetts 02459-2241
Dr. Elyse Anne Wagner
Prosthodontist
93 Union St Ste 402
Newton Centre
, Massachusetts 02459-2241
(617) 965-0060
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Elyse Anne Wagner
- 93 Union St Ste 402
- Newton Centre, MA
- Zip : 02459-2241
- Phone : (617) 965-0060
Second Address
- Dr. Elyse Anne Wagner
- 93 Union St Ste 402
- Newton Centre, MA
- Zip : 02459-2241
- Phone : (179) 650-0606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DN1858351 | MA |
National Provider Identifier
| NPI | 1023509007 |
|---|---|
| Provider Name | Dr. Elyse Anne Wagner |
| First Address | Newton Centre, MA 02459-2241 |
| Second Address | Newton Centre, MA 02459-2241 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2018 |
| Last Update Date | 07/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.