Wagner Auguste Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WAGNER AUGUSTE DENTAL PLLC

Practice address

206 High St Ste D
Ellsworth, ME 04605-1741

Phone

(207) 669-4826

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Alain Auguste

Title

Owner

Phone

(207) 669-4826

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaac Adesola Adegbola, DDS

  • General Practice Dentistry
  • Ellsworth, ME
  • NPI 1245043496
  NPD
• Sagar Marwah, DDS

  • Dentist
  • Ellsworth, ME
  • NPI 1942027453
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1811529522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HIGH ST STE D",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051741",
            "telephone_number": "207-669-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER AUGUSTE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "AUGUSTE",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-669-4826"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha E Varney, SP
• Mary M Veit, PHD LCSW
• Gina Marie Veits, CADC
• Susan M. Vinall, PTA
• Allison S. Visvader, MHRT-CSP
• Mary Elizabeth Wagstaff, OTR/L
• Wakeland Physical Therapy, LLC
• Timothy Lee Wakeland, MSPT
• Walgreen Co
• Walgreen Eastern Co Inc

• General Practice Dentistry in Ellsworth, ME
• Providers in Ellsworth, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.