NPIMap

Organization Active NPI

Wilston Family Dentistry PLLC

  • Dental Clinic/Center
  • Blue Bell, PA
National Provider Identifier
1083406136
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILSTON FAMILY DENTISTRY PLLC
Practice address
725 Skippack Pike Ste 125
Blue Bell, PA 19422-1704
Phone
(215) 641-2800
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ethan Wilston, DMDNPI 1134785165
Title
Owner
Phone
(570) 404-5625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

725 Skippack Pike Ste 125
Blue Bell, PA 19422-1704

Mailing address

725 Skippack Pike Ste 125
Blue Bell, PA 19422-1704

Other names 1

  • Wilston Dental of Blue Bell Doing business as

National Provider Directory

National Provider Directory

Locations

725 Skippack Pike
Ste 125
Blue Bell, PA 19422
Phone (215) 641-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1083406136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE STE 125",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE STE 125",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221704",
            "telephone_number": "215-641-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSTON FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "WILSTON",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-404-5625",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilston Dental of Blue Bell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.