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LISA ANN WAGNER DMD
NPI 1982776712
Dentist in Alpharetta, GA

Active since November 15, 2006PECOS Enrolled
1130 SANCTUARY PKWY, ALPHARETTA, GA 30009(770) 641-5168 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Ann Wagner Dmd NPPES

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

LISA ANN WAGNER DMD (NPI 1982776712) is an individual dentist in Alpharetta, Georgia, licensed in Georgia (DN010372) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982776712
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameLISA ANN WAGNERCredential: DMD
Location Address1130 SANCTUARY PKWYAlpharetta, GA 30009-4839
Mailing Address425 Paris DriveLawrenceville, GA 30043-6144 · (770) 399-1582
Phone(770) 641-5168
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateSeptember 20, 2016
✔ NPI 1982776712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN010372
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1130 SANCTUARY PKWY, Alpharetta, GA 30009
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Ann Wagner Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1982776712. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Lisa Wagner located?

Lisa Wagner practices at 1130 Sanctuary Pkwy, Alpharetta, GA 30009. The listed phone number is (770) 641-5168.

What is Lisa Wagner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Lisa Wagner enrolled in Medicare?

Yes. Lisa Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Wagner was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.