ANDREW DAVID WILSON (NPI# 1366971285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366971285 |
| Entity Type | Individual |
| Full Name | ANDREW DAVID WILSON |
| Credential | D.D.S. |
| Practice Address |
2301 E Allegheny Ave Philadelphia PA 19134-4427 |
| Mailing Address |
1010 Arch St Unit 513 Philadelphia PA 19107-3021 |
| Practice Telephone | 2152828000 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS041330 | PA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DR03097 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677580 | Andrew J Wilson | Counselor | 1121 Knopfler Cir, Folsom, CA 95630-8521 | 2020-07-27 |
| 1932728797 | Andrew Pierce Wilson | Physical Therapist | 6660 Goldencreek Way, Las Vegas, NV 89108-8400 | 2020-04-13 |
| 1164876355 | Andrew S Wilson | Massage Therapist | 276 Mockernut Rd, Pittsboro, NC 27312-5921 | 2016-04-14 |
| 1043688716 | Andrew Wilson | Social Worker | 6007 Financial Plz Ste 213, Shreveport, LA 71129-2638 | 2015-09-11 |
| 1285973768 | Andrew Troy Wilson | Pharmacist | 10823 Cross School Rd, Reston, VA 20191-5107 | 2013-02-04 |
| 1265449813 | Andrew Thomas Wilson | Dentist | 3195 Cold Springs Rd, Huntingdon, PA 16652-2713 | 2006-08-02 |
| 1114549888 | Andrew Tyler Wilson | Marriage & Family Therapist | 1260 N Dutton Ave Ste 105, Santa Rosa, CA 95401-7121 | 2020-05-15 |
| 1184258543 | Andrew Wilson | Behavior Technician | 2115 W Crescent Ave Ste 244, Anaheim, CA 92801-3836 | 2020-02-25 |
| 1831740703 | Andrew Harvey Wilson | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2019-09-23 |
| 1972071751 | Andrew Wilson | Behavioral Analyst | 1803 S Wood Dr, Okmulgee, OK 74447-6825 | 2018-11-09 |
| Street Address |
2301 E ALLEGHENY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549063 | Jay S Fineman | Anesthesiology | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2005-06-27 |
| 1992322044 | Josh Samuel | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2020-07-05 |
| 1619593845 | Claudia Lobelli Chandler | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2020-06-23 |
| 1194361980 | Public Health Managment Corporation (phmc) | Community/Behavioral Health | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-11-27 |
| 1184284796 | Lisbet Diaz Linares | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-06-17 |
| 1477113165 | Matthew Dudek | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-06-16 |
| 1548827769 | Tara Brooke Denton | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-05-22 |
| 1962067694 | Stephanie P Tran | Dentist | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-05-08 |
| 1427514314 | William F Bergeron IIi | Student in an Organized Health Care Education/Training Program | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-02-15 |
| 1043718588 | Beacon Point Recovery Center, LLC. | Community/Behavioral Health | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
| 1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
| 1447869235 | Artistic Smile LLC | Dentist | 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 | 2020-07-28 |
| 1619585270 | Dentist Near Me Pllc | Dentist | 1603 South St, Philadelphia, PA 19146-1541 | 2020-07-20 |
| 1073121281 | Olga Stepanchenko | Dentist | 1919 Bowler St, Philadelphia, PA 19115-3211 | 2020-07-14 |
| 1578101630 | Maryam Khalili | Dentist | 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 | 2019-12-19 |
| 1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
| 1518502632 | Rujuta Shukla | Dentist | 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 | 2019-11-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.