DR. TODD SAMUEL WELLER (NPI# 1982667127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982667127 |
Entity Type | Individual |
Full Name | DR. TODD SAMUEL WELLER |
Credential | D.M.D. |
Practice Address |
701 Hospital Loop Fairchild Afb WA 99011-8704 |
Practice Telephone | 5092475829 |
Mailing Telephone | 5092475829 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | DE8663 | WA | Dental Providers |
Street Address |
701 HOSPITAL LOOP |
City | FAIRCHILD AFB |
State | WA |
Zip Code | 99011-8704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568927168 | Scott Gilbert | Social Worker | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2019-02-07 |
1750872453 | Andrew Hamilton | Dentist | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2018-05-29 |
1497250211 | Courtney Beaver | Student in an Organized Health Care Education/Training Program | 701 Hospital Loop, Fairchild Afb, WA 99011 | 2018-03-25 |
1730691148 | Bryce Ferland | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2017-10-26 |
1780113886 | Jacob William Thomas | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2017-06-12 |
1184166977 | Nathan James Dillow | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-11-09 |
1770936940 | Jeremy Thompson | Physician Assistant | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-07-22 |
1578916383 | Megan Gaschk | Student in an Organized Health Care Education/Training Program | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-07-16 |
1598116329 | Roger Joel Brogis II | Emergency Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-06-22 |
1801241476 | Nicholas Forster-curnew | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669939732 | Ruth Ann Sunde | Social Worker | 92d Medical Group/sgow, 701 Hospital Loop, Suite 259, Fairchild Afb, WA 99011 | 2019-02-26 |
1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
1174032569 | Elizabeth Andrews | Registered Nurse | 400 W Fairchild Highway, Fairchild Afb, WA 99011 | 2017-09-28 |
1770031171 | Mariah Combs | Behavioral Analyst | 5298 B Sycamore Street, Fairchild Afb, WA 99011 | 2016-09-14 |
1770960957 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 101 W. Spaatz Rd., Bldg 2465, Fairchild Afb, WA 99011 | 2015-04-27 |
1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
1992078554 | Alyssa Marie Degeyter | Community Health Worker | 7272 A Nebraska Ave, Fairchild Air Force Base, WA 99011 | 2012-02-13 |
1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
Find all providers in zip 99011 |
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 |
---|---|---|---|---|
1518208396 | Megan Milburn | Dentist | 709 Hospital Loop, Fairchild Afb, WA 99011-8705 | 2013-03-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851991319 | Ashley Lynn Wildhaber | Dentist | 111 Tumwater Blvd Se # 301, Tumwater, WA 98501-6400 | 2020-10-26 |
1124627757 | Eric Kun Kim | Dentist | 7160 Burden Blvd Ste 102, Pasco, WA 99301-4469 | 2020-10-24 |
1174121966 | Brandon C Hahn | Dentist | 6574 153rd Ave Se, Bellevue, WA 98006-5424 | 2020-10-13 |
1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
1568069391 | Neha Agarwal | Dentist | 13605 Ne 10th Pl # 8-101, Bellevue, WA 98005-2743 | 2020-10-05 |
1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
1598371866 | Maryam Tabarestani | Dentist | 24325 7th Pl W, Bothell, WA 98021-8525 | 2020-09-21 |
1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
1407461825 | Jangsu Kiyoshi | Dentist | 3006 Mahogany St Ne, Lacey, WA 98516-5589 | 2020-09-11 |
1407461270 | Crisafulli Dental | Dentist | 18920 Bothell Way Ne Ste 200, Bothell, WA 98011-1981 | 2020-09-09 |
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City | FAIRCHILD AFB |
Zip Code | 99011 |
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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.