DR. ELAINE C. WAGNER D.D.S.
NPI 1366402042
Dentist - Pediatric Dentistry in Jacksonville, FL

Q: What is Elaine Wagner's NPI number?

The NPI number for Elaine Wagner is 1366402042. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Q: What is Elaine Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Elaine Wagner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since March 25, 2006

J MUSTIN RD, JACKSONVILLE, FL 32212(904) 542-7312(904) 542-7307 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Elaine C. Wagner D.d.s. NPPES

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

DR. ELAINE C. WAGNER D.D.S. (NPI 1366402042) is an individual pediatric dentistry provider in Jacksonville, Florida, licensed in Indiana (7979) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1366402042

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. ELAINE C. WAGNERCredential: D.D.S.

Location AddressJ MUSTIN RDJacksonville, FL 32212-1128

Mailing AddressJ Mustin RdJacksonville, FL 32212-1128 · (904) 542-7312 · Fax (904) 542-7307

Phone(904) 542-7312

Fax(904) 542-7307

Sole ProprietorNo

Enumeration DateMarch 25, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1366402042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 7979

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

J MUSTIN RD, Jacksonville, FL 32212

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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 Elaine Wagner's NPI number?

The NPI number for Elaine Wagner is 1366402042. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Elaine Wagner located?

Elaine Wagner practices at J Mustin Rd, Jacksonville, FL 32212. The listed phone number is (904) 542-7312.

What is Elaine Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Elaine Wagner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.