Active NPIIndividual provider

Dr. Andrew Wildeman Jr., DMD

Dentist, General Practice in Manahawkin, New Jersey

NPI Number1740858869
Practice location
451 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2847
Fax
—
Last updated
April 6, 2022

Andrew Wildeman is a Dentist, General Practice based in Manahawkin, NJ. Andrew Wildeman practices in Manahawkin, NJ and has the professional credentials of DMD. The NPI Number for Andrew Wildeman is 1740858869 and holds a License No. 22DI02892800 (NJ). The current practice location address for Andrew Wildeman is 451 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2847 and can be reached out via phone at 609-994-5411.

Provider Profile Details

NPI Number
1740858869
Provider Name
Andrew Wildeman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
451 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2847
Phone Number
609-994-5411
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2021
Last Update Date
April 6, 2022
Certification Date
April 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
451 Martin Truex Jr Blvd
Manahawkin, NJ 08050-2847
Zip
08050-2847
Phone Number
609-994-5411
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
555 1ST St Apt 114
Harrison, NJ 07029-3179
City
Harrison
State
NJ
Zip
07029-3179

License Information

License Number
22DI02892800
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Andrew Wildeman Jr., DMD?

The NPI number of Dr. Andrew Wildeman Jr., DMD is 1740858869. It was assigned on June 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew Wildeman Jr., DMD?

Dr. Andrew Wildeman Jr., DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02892800.

Where does Dr. Andrew Wildeman Jr., DMD practice?

The practice location is 451 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2847. The office can be reached at 609-994-5411 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740858869 directly on the NPPES registry website.

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