Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Chance P Wagner, DMD

Individual provider General Practice Dentistry · NPI 1073256871

Dr. Chance P Wagner, DMD is a General Practice Dentistry in Manlius, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

102 W Seneca St
Manlius, NY 13104-2480
Phone: (315) 682-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 063380 (NY)

Record details

NPI number1073256871
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026

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