IndividualActive
Michael Wagner, DDS
NPI 1639114622 · Dentist · Pawtucket, RI
Michael Wagner, DDS is a Dentist provider in Pawtucket, RI (NPI 1639114622).
Provider details
- NPI number
- 1639114622
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 2342 (RI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
480 Broadway
Pawtucket, RI 02860
Phone: (401) 728-6654
Fax: (701) 728-5726
Street-level locationGet directions
Mailing address
480 Broadway
Pawtucket, RI 02860
Registry dates
- Enumerated
- 2006-06-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Wagner's NPI number?
- Michael Wagner's National Provider Identifier (NPI) is 1639114622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wagner's specialty?
- Michael Wagner is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Michael Wagner located?
- Michael Wagner's practice location on file with NPPES is 480 Broadway, Pawtucket, RI 02860.
- What is Michael Wagner's phone number?
- The practice phone number listed in the NPPES registry for Michael Wagner is (401) 728-6654.
- Is Michael Wagner's NPI active?
- Yes — Michael Wagner's NPI (1639114622) is active in the NPPES registry as of the last update on 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.