FDM Wahl Dental LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

FDM WAHL DENTAL LLC

Practice address

2003 Concord Pike
Wilmington, DE 19803-2904

Phone

(302) 655-1228

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. John T Moore

Title

Manager

Phone

(302) 836-5072

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1568214807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PEOPLES PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025701",
            "telephone_number": "302-392-2449",
            "fax_number": "302-836-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032904",
            "telephone_number": "302-655-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FDM WAHL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "302-836-5072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neshama Lynn Faulkner
• Valerie Faure
• Brienna Faust
• Bruce G Fay, DMD
• Jean B Fay, OT
• Stacey Fedale
• Wendy Mae Fedoronko
• Valerie Feeley
• Brian Michael Feeney, D.C
• Donald Francis Feeney, D.C., LD/N

• Public Health Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Public Health Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.