DR. CHANCE P WAGNER DMD
NPI 1073256871
Dentist - General Practice in Manlius, NY

Active since April 19, 2022
102 W SENECA ST, MANLIUS, NY 13104(315) 682-8400 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2026, Apr 19, 2022 (2 updates tracked since 2022).

About Dr. Chance P Wagner Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHANCE P WAGNER DMD (NPI 1073256871) is an individual general practice provider in Manlius, New York, licensed in New York (063380) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1073256871
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CHANCE P WAGNERCredential: DMD
Location Address102 W SENECA STManlius, NY 13104-2480
Mailing Address102 W Seneca StManlius, NY 13104-2480 · (315) 682-8400
Sole ProprietorYes
Enumeration DateApril 19, 2022
Last NPPES UpdateApril 4, 20262 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
NPI 1073256871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 063380
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

102 W SENECA ST, Manlius, NY 13104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
102 W SENECA ST
MANLIUS, NY 13104
Internal Medicine (Cardiovascular Disease)
102 W SENECA ST
MANLIUS, NY 13104
Orthopaedic Surgery
102 W SENECA ST, STE 110
MANLIUS, NY 13104
Durable Medical Equipment & Medical Supplies
102 W SENECA ST
MANLIUS, NY 13104
Internal Medicine
102 W SENECA ST
MANLIUS, NY 13104
Dentist
102 W SENECA ST
MANLIUS, NY 13104
Specialist
102 W SENECA ST, SUITE 210
MANLIUS, NY 13104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chance Wagner's NPI number?

The NPI number for Chance Wagner is 1073256871. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Chance Wagner located?

Chance Wagner practices at 102 W Seneca St, Manlius, NY 13104. The listed phone number is (315) 682-8400.

What is Chance Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Chance Wagner was last updated on April 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.