DR. KEISUKE WADA DMD
NPI 1376897793
Dentist - Periodontics in Philadelphia, PA

Q: What is Keisuke Wada's NPI number?

The NPI number for Keisuke Wada is 1376897793. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Q: What is Keisuke Wada's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Keisuke Wada was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2012

3401 MARKET STREET, SUITE 110, PHILADELPHIA, PA 19104(215) 573-8400 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Keisuke Wada Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEISUKE WADA DMD (NPI 1376897793) is an individual periodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS039376) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1376897793

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. KEISUKE WADACredential: DMD

Location Address3401 MARKET STREET, SUITE 110Philadelphia, PA 19104

Mailing Address150 E Wynnewood Rd, #2aWynnewood, PA 19096 · (610) 649-0570

Phone(215) 573-8400

Sole ProprietorNo

Enumeration DateNovember 7, 2012

✔ NPI 1376897793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in PA · DS039376

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3401 MARKET STREET, Philadelphia, PA 19104

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN ELAINE MILLER D.D.S.

Dentist (General Practice)

3401 MARKET STREET, SUITE 110 PENN DENTAL AT UNIVERSITY CITY
PHILADELPHIA, PA 19104

Philadelphia County (215) 573-8400

DR. MARGRIT MAGGIO D.M.D.

Dentist (General Practice)

3401 MARKET STREET, PENN DENTAL AT UNIVERSITY CITY
PHILADELPHIA, PA 19104

Philadelphia County (215) 573-8400

LEILY RAZAVI DDS

Dentist (General Practice)

3401 MARKET STREET, SUITE#110
PHILADELPHIA, PA 19104

Philadelphia County (215) 573-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keisuke Wada's NPI number?

The NPI number for Keisuke Wada is 1376897793. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Keisuke Wada located?

Keisuke Wada practices at 3401 Market Street Suite 110, Philadelphia, PA 19104. The listed phone number is (215) 573-8400.

What is Keisuke Wada's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Keisuke Wada was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.