Michael A Wagner is a Pawtucket, Rhode Island based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Michael A Wagner is
2342 for Dentistry in Rhode Island. His current practice location is
480 Broadway, Pawtucket. Patients can reach him at
401-728-6654.
Michael A Wagner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Michael A Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Michael A Wagner |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 480 Broadway, Pawtucket,
Rhode Island, 02860 |
| Phone: | 401-728-6654 |
| Fax: | 701-728-5726 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639114622 |
| NPI Enumeration Date: | 17 Jun, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael A Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| 2342 | Dentistry | Rhode Island | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael A Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MW02273 | Medicaid | Rhode Island | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 480 Broadway,
Pawtucket, Rhode Island |
| Zip: | 02860 |
| Phone Number: | 401-728-6654 |
| Fax Number: | 701-728-5726 |
Patients can reach Michael A Wagner at
480 Broadway, Pawtucket, Rhode Island or can
call to book an appointment on 401-728-6654.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.