Wesley Robertson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041877 Issued in PA

Practice address

8355 Loretto Ave Ste 104
Philadelphia, PA 19152-1830

Phone

(215) 745-3200

NPI assigned

Jul 24, 2018

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1164909982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 W SCHOOL HOUSE LN APT 214",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445314",
            "telephone_number": "717-919-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 LORETTO AVE STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521830",
            "telephone_number": "215-745-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artafia B Robertson
• Bethany L Robertson, BSN, RN
• Bonnie Robertson, CRNP
• Briana Robertson, CRNP, FNP-BC
• Nathaniel Robertson, M.D.
• Jeremy Thomas Robichaud, LCSW
• Mark Robidoux, MD
• Alec Thomas Robin, DMD
• Cyrus Ortalla Robin, NP
• F Philip Robin, D.O.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.