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

Dr. Neilson Lane Wagley, DMD

Individual provider Dentist · NPI 1427582964

Dr. Neilson Lane Wagley, DMD is a Maxillofacial Surgery in Austintown, Ohio. Graduated from Univ of Pittsburgh School of Dental Medicine in 2017, 9 years ago. Practices with Mill Creek Oral and Maxillofacial Surgery Associates Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio and Tennessee.

Years since qualifying
9
Trained at
Univ of Pittsburgh School of Dental Medicine
Licensed in
OH, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5437 Mahoning Ave
Austintown, OH 44515-2437
Phone: (330) 792-2501
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 30.026403 (OH)
Dentist Taxonomy 122300000X · Licence 11222 (TN)

Record details

NPI number1427582964
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 11, 2017
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
Graduated 2017 (9 years in practice)
Group practice Mill Creek Oral And Maxillofacial Surgery Associates Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Austintown