Michael A. Wagner, DDS

Dentist · Pawtucket, RI

Individual Active NPI

NPI number 1639114622

Practice location

480 Broadway
Pawtucket, RI 02860
Phone
(401) 728-6654
Fax
(701) 728-5726

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NPI record

NPI
1639114622
Entity type
Individual (Type 1)
Enumeration date
June 17, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2342 RI

About Dr. Wagner

Michael A. Wagner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 480 Broadway, Pawtucket, RI 02860. The NPI number 1639114622 was assigned on June 17, 2006 and the record was last updated on July 13, 2026.

Dr. Wagner lists a license in the registry: #2342 (RI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael A. Wagner, DDS?

The NPI number is 1639114622.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (401) 728-6654.

Where is Dr. Wagner located?

480 Broadway, Pawtucket, RI 02860.

What is the taxonomy code for Dr. Wagner?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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