Active NPI
David W. Wedell, D.D.S.. L.L.C.
- Preferred Provider Organization
- Willow Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- DSO25939L
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Willow Grove, PA
- NPI 1336259456
-
- Addiction Medicine (Family Medicine) Physician
- Fort Washington, PA
- NPI 1851409775
Multi-Specialty
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.