Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205994878 Individual Practitioner Male Practitioner

Dr. Robert L Wagner , DMD

Dentist • Smithtown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wagner, DMD is a registered healthcare professional specializing in Dentist in Smithtown, NY. Practice services are available at 50 ROUTE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

50 Route 111
Suite 301

Smithtown, NY 117873700

Telephone 6312652990
Fax 6312652994
Associated Practice Facility / Clinic
🏢 North Shore Orthodontics Facility NPI 1235348277

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Smithtown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Smithtown, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 0033796

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Glen Korsen , DDS

Dentist - Pediatric Dentistry

NPI 1245444165

Doctor of Dental Surgery

Dr. Farzad Forohar , MD

Internal Medicine - Gastroenterology

NPI 1285603746

Doctor of Medicine (M.D.)

Nicole Volante , MS

Physician Assistant

NPI 1356771422

Master of Science

Dr. Howard Burger , DDS

Dentist - General Practice

NPI 1447468533

Doctor of Dental Surgery

Helena Gossin , MSW

Social Worker

NPI 1588581409

Master of Social Work

NPI 1760376339

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 50 ROUTE 111, SUITE 301, SMITHTOWN, NY 117873700 (Tel: 6312652990)

📍
Updated Business Mailing Address July 08, 2007

Registered at 50 ROUTE 111, SUITE 301, SMITHTOWN, NY 117873700 (Tel: 6312652990)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT WAGNER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0033796 in NY)

🟢
Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205994878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

50 Route 111, Suite 301

Smithtown, NY 117873700

Phone: 6312652990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.