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

Robert L Wagner, DMD

Individual provider Dentist · NPI 1205994878

Robert L Wagner, DMD is a Dentist in Smithtown, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

50 Route 111 Ste 301
Smithtown, NY 11787-3700
Phone: (631) 265-2990
Fax: (631) 265-2994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0033796 (NY)

Record details

NPI number1205994878
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address50 Route 111, Suite 301, Smithtown, NY 11787-3700

Other providers in Smithtown