NPI 1366323792

Prem Kumar Wagley

Practitioner Dental Hygienist Manchester, NH

Practice location

Address: 54 Readey St, Manchester, NH 03104-2227
Phone: (603) 785-6701

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 03696 (NH)

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Registry record

NPI: 1366323792
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2025
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.