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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.