Robert E Wennick Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS023144L Issued in PA

Practice address

50 Eastern Ave
Suite 108
Greencastle, PA 17225-1100

Phone

(717) 597-7197

Fax

(717) 597-3995

NPI assigned

Apr 23, 2007

Last updated

Feb 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1093933384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE",
            "address_2": "SUITE 108",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-597-7197",
            "fax_number": "717-597-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EASTERN AVE",
            "address_2": "SUITE 108",
            "city": "GREENCASTLE",
            "state": "PA",
            "postal_code": "172251100",
            "telephone_number": "717-597-7197",
            "fax_number": "717-597-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNICK",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023144L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Greencastle, PA
• Providers in Greencastle, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.