DR. DAVID F WAGNER (NPI# 1699889048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699889048 |
| Entity Type | Individual |
| Full Name | DR. DAVID F WAGNER |
| Credential | DDS |
| Practice Address |
11a Florence St Marlborough MA 01752-2822 |
| Practice Telephone | 5084850401 |
| Practice Fax Number | 5087865900 |
| Mailing Telephone | 5084850401 |
| Mailing Fax Number | 5087865900 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17039 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE NUMBER | 17039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
| 1912079823 | David A Wagner Sr. | Dentist | 43 East Mills Street, Columbus, NC 28722 | 2006-11-15 |
| 1205917523 | David Wagner | Dentist | 1919 N Pearl St Ste A3, Tacoma, WA 98406-2456 | 2006-10-17 |
| 1255444345 | David Robert Wagner | Chiropractor | 3107 W Slaughter Ln, Austin, TX 78748-5574 | 2006-08-16 |
| 1265448328 | David C Wagner | Physical Therapist | 3105 Main St, Marlette, MI 48453-1508 | 2006-07-31 |
| 1821012105 | David Wagner | Internal Medicine | 135 East 37th St, New York, NY 10016 | 2006-07-27 |
| 1295754778 | David A Wagner | Optometrist | 3285 State Route 257, Seneca, PA 16346-2529 | 2006-07-18 |
| 1508847997 | David Scott Wagner | Chiropractor | 31285 Temecula Pkwy Ste 260, Temecula, CA 92592-6830 | 2005-11-11 |
| 1821085168 | David Edwin Wagner | Dentist | 5992 Howdershell Rd, Ste 206, Hazelwood, MO 63042-4107 | 2005-10-03 |
| 1326046897 | David Gordon Wagner | Specialist | 14955 Shady Grove Rd, Suite 125, Rockville, MD 20850-8700 | 2005-07-08 |
| Street Address |
11A FLORENCE ST |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053322230 | Melissa A Moeckel | Dentist | 11a Florence St, Marlborough, MA 01752-2822 | 2006-08-11 |
| 1942466602 | Jeffrey L. Scott | Health Maintenance Organization | 11a Florence St, Marlborough, MA 01752-2822 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023292844 | Vanessa D. Newton | Dentist | 221 Boston Post Rd E Ste 330, Marlborough, MA 01752-3527 | 2007-12-28 |
| 1174705792 | Dennis J Ahern Dds PC | Dentist | 222 Bolton Street, Marlborough, MA 01752 | 2007-12-05 |
| 1013112101 | Preetha M Prasath | Dentist | 116 Main St Ste 1, Marlborough, MA 01752-3811 | 2007-06-19 |
| 1174731608 | Joseph A Prignano | Dentist | Route 66, 14 East Hampton Road, Marlborough, CT 06424 | 2007-05-18 |
| 1952427494 | Dennis C Hodgdon | Dentist | 6 Lake Road, Marlborough, CT 06447 | 2007-03-22 |
| 1528193885 | Sanjiv Nehra | Dentist | 222 Bolton St, Marlborough, MA 01752-3902 | 2007-02-23 |
| 1801936075 | Margarita Panajoti | Dentist | 661c Boston Post Rd E, Marlborough, MA 01752-3732 | 2007-02-07 |
| 1568514883 | Mpgt Corp | Dentist | 661 Boston Post Rd E Ste C, Marlborough, MA 01752-3732 | 2007-01-17 |
| 1962553362 | Edward Fred Ingerman | Dentist | 530 Boston Post Rd E Ste D, Marlborough, MA 01752-3645 | 2007-01-15 |
| 1053322230 | Melissa A Moeckel | Dentist | 11a Florence St, Marlborough, MA 01752-2822 | 2006-08-11 |
| Find all providers in MARLBOROUGH | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on DR. DAVID F WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.