David William Wedell, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

DS025939L Issued in PA

Practice address

608 N Easton Rd
Suite a David W Wedell DDS LLC
Willow Grove, PA 19090

Phone

(215) 784-9711

Fax

(215) 784-9713

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Penna Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Bryn Mawr, PA
  • NPI 1790786317
  Medicare reassignment NPD
• Actual Recovery Services, LLC

  • Clinic/Center
  • Willow Grove, PA
  • NPI 1770292880
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336259456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N EASTON RD",
            "address_2": "SUITE A DAVID W WEDELL DDS LLC",
            "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 N EASTON RD",
            "address_2": "SUITE A DAVID W WEDELL DDS LLC",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-784-9711",
            "fax_number": "215-784-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDELL",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS025939L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Vulgamore
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Toni Lynn Warner-McIntyre, PHD; LCSW
• Melissa A Watson, PHD
• Joy Weissenberg, LPC
• Whole Heart and Harmony Home Health Agency LLC
• Robert P Wilhelm, PA-C
• Kimberly A Wilkie, DPM
• Mandy Adel William, PHARMD

• Oral & Maxillofacial Surgery (D.M.D.) in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.