Organization 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
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.