Organization Active NPI

David W. Wedell, D.D.S.. L.L.C.

  • Preferred Provider Organization
  • Willow Grove, PA
National Provider Identifier
1144413097
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DSO25939L Issued in PA
Legal business name
DAVID W. WEDELL, D.D.S.. L.L.C.
Practice address
608 Easton Rd
Suite a
Willow Grove, PA 19090-2528
Phone
(215) 784-9711
Fax
(215) 784-9713
NPI assigned
Aug 23, 2007
Last updated
Aug 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Mr. David Wedell, D.D.S.NPI 1336259456
Title
Owner
Phone
(215) 784-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DSO25939L PA Primary

Addresses

Primary practice location

608 Easton Rd
Suite a
Willow Grove, PA 19090-2528

Mailing address

608 North Easton Road
Suite a
Willow Grove, PA 19090
Phone (215) 784-9711

National Provider Directory

National Provider Directory

Locations

794 Penllyn Pike
Ste 217
Blue Bell, PA 19422
Phone (215) 784-9711

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1144413097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NORTH EASTON ROAD",
            "address_2": "SUITE A",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-784-9711",
            "fax_number": "215-784-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 EASTON RD",
            "address_2": "SUITE A",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902528",
            "telephone_number": "215-784-9711",
            "fax_number": "215-784-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. WEDELL, D.D.S.. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "WEDELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-784-9711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "DSO25939L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.