KERRY WU DMD PC (NPI# 1710009477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710009477 |
| Entity Type | Organization |
| Organization Name | KERRY WU DMD PC |
| Practice Address |
30 Grant St Waltham MA 02453 |
| Practice Telephone | 7818941634 |
| Practice Fax Number | 7818993073 |
| Mailing Telephone | 7818941634 |
| Mailing Fax Number | 7818993073 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KERRY WU (PRESIDENT DENTIST) |
| Authorized Official Telephone | 7818941634 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19491 | MA | Dental Providers |
| Street Address |
30 GRANT ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194929 | Richard Crossman | Podiatrist | 30 Grant St, Waltham, MA 02453-4202 | 2006-04-18 |
| 1548617814 | Waltham Family Dental | Dentist | 30 Grant St, Waltham, MA 02453-4202 | 2016-05-17 |
| 1558531699 | Dr. Richard Crossman, Dpm | Durable Medical Equipment & Medical Supplies | 30 Grant St, Waltham, MA 02453-4202 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1184030066 | Weichun Li | Dentist | 85 River St # 65292, Waltham, MA 02453-8300 | 2014-07-11 |
| 1295013662 | Charles Sutera IIi | Dentist | 75 3rd Ave, Waltham, MA 02451-7549 | 2011-08-02 |
| 1356563035 | Mikhail Shulkin Dds PC | Dentist | 509 Moody Street, Waltham, MA 02453 | 2007-05-03 |
| 1104978220 | Edward Morton | Dentist | 633 Trapelo Rd, Waltham, MA 02452-7921 | 2007-01-17 |
| 1841347457 | Alan David Nesson | Dentist | 549 Lexington St, Waltham, MA 02452-3005 | 2007-01-04 |
| 1396805313 | Tam Tang and Sham PC | Dentist | 85 River Street, Waltham, MA 02453 | 2006-12-11 |
| 1023101300 | Tacuhi Sona Tacvorian | Dentist | 24 Crescent St, # 302, Waltham, MA 02453-4358 | 2006-10-01 |
| 1326052465 | John George Valentino | Dentist | 965 Trapelo Rd, Waltham, MA 02452-4842 | 2006-07-27 |
| 1881615680 | John Francis Giglio IIi | Dentist | 66 South St, Waltham, MA 02453 | 2006-07-21 |
| Find all providers in WALTHAM | ||||
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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.