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DR. CHAD LOWELL WAGNER DDS
NPI 1790381622
Dentist - Oral and Maxillofacial Surgery in Biloxi, MS

Active since December 07, 2020
301 FISHER ST, BILOXI, MS 39534(651) 600-7104 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2025, Jun 13, 2025, Dec 7, 2020 (3 updates tracked since 2020).

About Dr. Chad Lowell Wagner Dds NPPES

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

DR. CHAD LOWELL WAGNER DDS (NPI 1790381622) is an individual oral and maxillofacial surgery provider in Biloxi, Mississippi, licensed in Mississippi (111707) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1790381622
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHAD LOWELL WAGNERCredential: DDS
Location Address301 FISHER STBiloxi, MS 39534-2508
Mailing Address301 Fisher StBiloxi, MS 39534-2508 · (651) 600-7104
Phone(651) 600-7104
Sole ProprietorNo
Enumeration DateDecember 7, 2020
Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1790381622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MS · 111707
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 11918999-2903 (UT)
301 FISHER ST, Biloxi, MS 39534
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MS. ALISON LEIGH BEACH CRNA
Nurse Anesthetist, Certified Registered
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 376-6017
BETSY SMITH MAJMA CRNA
Nurse Anesthetist, Certified Registered
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 377-6111
DR. MICHAEL TODD ACREE PHARMD
Pharmacist
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 377-6582
DONNATA ANTOINE
Pharmacist
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 377-8821
RYAN HOISINGTON PHARMD
Pharmacist
301 FISHER ST
BILOXI, MS 39534
Harrison County (228) 377-2086
MRS. PEGGY LEA LEWIS BSN
Registered Nurse (Women's Health Care, Ambulatory)
301 FISHER ST, KAFB
BILOXI, MS 39534
Harrison County (228) 377-6985
MS. ELIZABETH L BOWERS-KLAINE WCHNP
Nurse Practitioner (Women's Health)
301 FISHER ST
KEESLER AFB, MS 39534
Harrison County (228) 377-6512
DR. ROBERT MACK CROMER M.D.
Surgery
301 FISHER ST, GENERAL SURGERY CLINIC
KEESLER AFB, MS 39534
Harrison County (228) 376-0425

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 Chad Wagner's NPI number?

The NPI number for Chad Wagner is 1790381622. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Chad Wagner located?

Chad Wagner practices at 301 Fisher St, Biloxi, MS 39534. The listed phone number is (651) 600-7104.

What is Chad Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Chad Wagner was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.