Sari Wagner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02947000 Issued in NJ

Practice address

741 Teaneck Rd
Teaneck, NJ 07666-4261

Phone

(973) 328-3344

NPI assigned

Apr 5, 2022

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1649911496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W ENGLEWOOD AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662851",
            "telephone_number": "732-609-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664261",
            "telephone_number": "973-328-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SARI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-11-06",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02947000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Vogel, MS, RD
• Ashley Rebecca Voshell, FNP-C
• Lalita Wagle, MD
• Sharad Wagle, MD
• Ephrem Wagner, PSYD
• Nadeem Wain, MD
• Malki Waldman, MS, RD
• Kelsey Waldron, MS, OTR/L
• Walgreen Co (Walgreens #15608)
• Walgreen Co (Walgreens #02695)

• Dentist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.