Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elyse Anne Wagner, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023509007

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.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Newton Centre, MA

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DN1858351 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023509007
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 24, 2018
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

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