IndividualActive
Elaine Wagner, D.D.S.
NPI 1366402042 · Pediatric Dentistry · Jacksonville, FL
Elaine Wagner, D.D.S. is a Pediatric Dentistry provider in Jacksonville, FL (NPI 1366402042).
Provider details
- NPI number
- 1366402042
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- License
- 7979 (IN)
Practice location
J Mustin Rd
Jacksonville, FL 32212-1128
Phone: (904) 542-7312
Fax: (904) 542-7307
Approximate (ZIP-level) locationGet directions
Mailing address
J Mustin Rd
Jacksonville, FL 32212-1128
Registry dates
- Enumerated
- 2006-03-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.