Robert Dean Wendt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045455 Issued in NY

Practice address

1554A Brentwood Rd
Bay Shore, NY 11706-3239

Phone

(631) 666-4114

Fax

(631) 666-4159

NPI assigned

Oct 11, 2005

Last updated

Dec 29, 2011By the provider in NPPES

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

Other identifiers 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1427046606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554A BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063239",
            "telephone_number": "631-666-4114",
            "fax_number": "631-666-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554A BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063239",
            "telephone_number": "631-666-4114",
            "fax_number": "631-666-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Ann Weick, LCSW-R
• Erica Weinberg, DMD
• Mark Jeffrey Weinberg, D.M.D.
• Lenny Weinstein, D.O
• Crystal Wells, NP-C
• Isaac Edward Wenger, MD
• Jonathon Charles Wenke, FNP
• Kenneth Patrick Wenthen III, O.D.
• Western Suffolk Gastroenterology Assoc LLP
• Cara Wetcher, MD

• General Practice Dentistry in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.