DR. BRYANT WOOTEN


Address: 1401 S 31st St, Philadelphia, PA 19146-3506
Phone: 2157557700

DR. BRYANT WOOTEN (NPI# 1487182507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487182507
Entity Type Individual
Full Name DR. BRYANT WOOTEN
Credential DDS
Practice Address 1401 S 31st St
Philadelphia
PA 19146-3506
Practice Telephone 2157557700
Enumeration Date 2017-06-02
Last Update Date 2017-06-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DS041304 PA Dental Providers

Office Location

Street Address 1401 S 31ST ST
City PHILADELPHIA
State PA
Zip Code 19146-3506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174525877 Judy Politzer Advanced Practice Midwife 1401 S 31st St, Philadelphia, PA 19146-3506 2005-08-11
1609492834 Evan Tuan Huynh Dental Hygienist 1401 S 31st St, Philadelphia, PA 19146-3506 2020-06-23
1326686122 Theresa Testa Stewart Nurse Practitioner 1401 S 31st St, Philadelphia, PA 19146-3506 2019-12-12
1821574609 Qaiser Ahmed Dentist 1401 S 31st St, Philadelphia, PA 19146-3506 2018-07-16
1699273128 Erica M Chavis Dental Hygienist 1401 S 31st St, Philadelphia, PA 19146-3506 2018-01-30
1053819664 Manling Wang Dental Hygienist 1401 S 31st St, Philadelphia, PA 19146-3506 2018-01-29
1376057323 Olga M Lomanovitch Social Worker 1401 S 31st St, Philadelphia, PA 19146-3506 2017-11-29
1639682388 Hoang Quan Le Ngo Physician Assistant 1401 S 31st St, Philadelphia, PA 19146-3506 2017-11-15
1275061202 Paula Venice Dockery Nurse Practitioner 1401 S 31st St, Philadelphia, PA 19146-3506 2017-06-04
1659822997 Greater Philadelphia Health Action Incorporated Pharmacy 1401 S 31st St, Philadelphia, PA 19146-3506 2016-10-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114545977 Puentes De Salvd Clinic/Center 1700 South Street, Philadelphia, PA 19146 2020-07-08
1407480155 Mutiat Ajibade Nurse Practitioner 1401 S. 31 Street, Phialdelphia, PA 19146 2020-03-02
1003453952 Bridget Smith Psychologist Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 2019-12-10
1730678012 Christina Martindale Nurse Anesthetist, Certified Registered 917 S 15th Street, Philadelphia, PA 19146 2018-05-02
1598289456 Allison Ortolano Speech-Language Pathologist 1933 Montrose St., Philadelphia, PA 19146 2017-08-01
1033630116 Jami F Young Psychologist 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 2017-06-29
1336678788 Joshua Ryan Fidler Occupational Therapist 2223 Wharton Street, Philadelphia, PA 19146 2017-06-08
1912357930 Mei Lan Natalie Lau Pharmacist 3000-02 Reed Street, Philadelphia, PA 19146 2016-06-21
1417354887 Brandy Mitchell Specialist 1608 Webster Street, Philadelphia, PA 19146 2014-12-01
1942638101 Woong Yi Pharmacist 1155 S.mole St, Philadelphia, PA 19146 2013-10-28
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19146

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Dataset Information

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.

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