Active NPI
Bernstein and Wandell, a Dental Corporation
Doing business as Wisdom Tooth Central
- Oral and Maxillofacial Pathology Dentistry
- Santa Rosa, CA
National Provider Identifier
1598561714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- Legal business name
- BERNSTEIN AND WANDELL, A DENTAL CORPORATION
- Doing business as
- Wisdom Tooth Central
- Practice address
- 1791 Marlow Rd Ste 9
Santa Rosa, CA 95401-4112 - Phone
- (479) 970-6493
- NPI assigned
- Feb 19, 2025
- Last updated
- Feb 19, 2025
- 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
- Rael Bernstein, DDS
- Title
- President
- Phone
- (479) 970-6493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | Primary |
Addresses
Primary practice location
1791 Marlow Rd Ste 9
Santa Rosa, CA 95401-4112
Mailing address
2245 Montgomery Dr
Santa Rosa, CA 95405-4900
Phone (479) 970-6493
Other names 1
- Wisdom Tooth Central
National Provider Directory
National Provider DirectoryLocations
1791 Marlow Rd
Ste 9
Santa Rosa, CA 95401
Phone (479) 970-6493
2245 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 575-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1598561714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054900",
"telephone_number": "479-970-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 MARLOW RD STE 9",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014112",
"telephone_number": "479-970-6493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNSTEIN AND WANDELL, A DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A",
"authorized_official_last_name": "BERNSTEIN",
"authorized_official_first_name": "RAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "479-970-6493",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wisdom Tooth Central",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.