WAGNER AUGUSTE DENTAL PLLC (NPI# 1811529522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811529522 |
| Entity Type | Organization |
| Organization Name | WAGNER AUGUSTE DENTAL PLLC |
| Practice Address |
206 High St Ste D Ellsworth ME 04605-1741 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 2076694826 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | ALAIN AUGUSTE (OWNER) |
| Authorized Official Telephone | 2076694826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
206 HIGH ST STE D |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| 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 |
|---|---|---|---|---|
| 1548822596 | Eric L Bolduc | Dentist | 206 High St, Ellsworth, ME 04605-1741 | 2019-06-30 |
| 1306081666 | Mlh LLC | Dentist | 31 Commerce Park, Ellsworth, ME 04605 | 2008-12-15 |
| 1730219239 | Krisan Shaw | Dentist | 501 W. Lucas Lane, Ellsworth, WI 54011 | 2007-03-06 |
| 1184797714 | Barbara E Tashjian | Dentist | 412 W. Kinne St., Ellsworth, WI 54011-0238 | 2006-11-15 |
| 1417979386 | Joel Frederick Ackerman | Dentist | 99 Oak Street, Ellsworth, ME 04605 | 2006-07-23 |
| 1285682773 | Cental Kansas Dentistry, Pa | Dentist | 202 N Douglas Ave, Ellsworth, KS 67439-3216 | 2006-05-05 |
| 1609838200 | Peter Clifton Cummings | Dentist | 201 High St, Ellsworth, ME 04605-1715 | 2006-04-06 |
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| 1629597562 | Supritha Nilam | Dentist | 72 Beechland Rd, Ellsworth, ME 04605-2533 | 2017-09-12 |
| 1396162020 | Shaw Family Dental Sc | Dentist | 501 W. Lucas Lane, Ellsworth, WI 54011 | 2014-03-19 |
| Find all providers in ELLSWORTH | ||||
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| 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.