| Michael A Wagner, DDS | |
|
480 Broadway, Pawtucket, RI 02860 | |
| (401) 728-6654 | |
| (701) 728-5726 |
| Full Name | Michael A Wagner |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 480 Broadway, Pawtucket, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639114622 | NPI | - | NPPES |
| MW02273 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2342 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Wagner, DDS 480 Broadway, Pawtucket, RI 02860 Ph: (401) 728-6654 | Michael A Wagner, DDS 480 Broadway, Pawtucket, RI 02860 Ph: (401) 728-6654 |
Gloria Hwang, DMD Dentist Medicare: Medicare Enrolled Practice Location: 210 Main St, Pawtucket, RI 02860 Phone: 401-729-5239 | |
Dr. Gerard Arthur Belhumeur, DDS Dentist Medicare: Medicare Enrolled Practice Location: 629 Central Ave, Pawtucket, RI 02861 Phone: 401-726-0277 Fax: 401-724-5134 | |
Jordan Maria Henry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 Main St, Pawtucket, RI 02860 Phone: 401-729-5239 | |
Dr. Dimitri George Ganim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 878 Newport Ave, Pawtucket, RI 02861 Phone: 401-725-6140 Fax: 401-726-8045 | |
Dr. Paul G. Roque, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 642 Newport Ave, Pawtucket, RI 02861 Phone: 401-722-3757 Fax: 401-722-3757 | |
Dr. Lalita Bhattacharya, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 42 Park Place, Pawtucket, RI 02860 Phone: 401-729-5239 Fax: 401-729-0438 | |
Michele Gendron Siler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 480 Broadway, Pawtucket, RI 02860 Phone: 401-728-6654 Fax: 401-728-5726 |