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DR. ELYSE ANNE WAGNER DMD
NPI 1023509007
Dentist - Prosthodontics in Newton Centre, MA

Active since May 24, 2018
93 UNION ST STE 402, NEWTON CENTRE, MA 02459(179) 650-0606 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 7, 2021, May 24, 2018 (2 updates tracked since 2018).

About Dr. Elyse Anne Wagner Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELYSE ANNE WAGNER DMD (NPI 1023509007) is an individual prosthodontics provider in Newton Centre, Massachusetts, licensed in Massachusetts (DN1858351) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1023509007
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameDR. ELYSE ANNE WAGNERCredential: DMD
Location Address93 UNION ST STE 402Newton Centre, MA 02459-2241
Mailing Address93 Union St Ste 402Newton Centre, MA 02459-2241 · (617) 965-0060
Phone(179) 650-0606
Sole ProprietorNo
Enumeration DateMay 24, 2018
Last NPPES UpdateMay 7, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1023509007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in MA · DN1858351
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
93 UNION ST STE 402, Newton Centre, MA 02459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LASZLO ANTONIO RIVERO PRINCE DDS
Dentist (General Practice)
93 UNION ST STE 402
NEWTON, MA 02459
Middlesex County (617) 965-0060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elyse Wagner's NPI number?

The NPI number for Elyse Wagner is 1023509007. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Elyse Wagner located?

Elyse Wagner practices at 93 Union St Ste 402, Newton Centre, MA 02459. The listed phone number is (179) 650-0606.

What is Elyse Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

What insurance does Elyse Wagner accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Elyse Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elyse Wagner was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.