Individual provider · Type 1 NPI

Elizabeth Ann Wagner, DMD

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1659545184 Active

Practice location

100 E Lehigh Ave
Philadelphia, PA 19125-1012

Call (215) 707-3613 Map

Mailing address

1003 Hancock Ct
Deptford, NJ 08096-5122

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS036569 (PA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1659545184

Elizabeth Ann Wagner, DMD's National Provider Identifier is 1659545184, issued on Apr 16, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 16, 2008.