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

Michael A Wagner, DDS

Individual provider Dentist · NPI 1639114622

Michael A Wagner, DDS is a Dentist in Pawtucket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2006.

Licensed in
RI
In the registry since
2006
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

480 Broadway
Pawtucket, RI 02860
Phone: (401) 728-6654
Fax: (701) 728-5726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2342 (RI)

Record details

NPI number1639114622
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESJuly 13, 2026

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