MS. DEANNE WALLAERT (NPI# 1083271704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083271704 |
| Entity Type | Individual |
| Full Name | MS. DEANNE WALLAERT |
| Credential | PHDHP |
| Practice Address |
1207 Chestnut St 4th Fl Philadelphia PA 19107-4131 |
| Mailing Address |
1223 Locust St 3rd Fl Philadelphia PA 19107-5400 |
| Practice Telephone | 2155253046 |
| Practice Fax Number | 2155671617 |
| Mailing Telephone | 2159854448 |
| Mailing Fax Number | 2159854952 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
PHDH000393 | PA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | DH069570 | PA | Dental Providers |
| Street Address |
1207 CHESTNUT ST 4TH FL |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965461 | Mackenzie Hubing | Dental Hygienist | 1207 Chestnut St 4th Fl, Philadelphia, PA 19107-4131 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1518203744 | Paradise Dental,inc | Dentist | 2338 N Front St, Philadelphia, PA 19133-3716 | 2012-12-16 |
| 1053797456 | Cuong Quoc Nguyen | Dentist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2015-08-07 |
| 1780891838 | Michael J. Adams | Dentist | 5201 Haverford Ave, Philadelphia, PA 19139-1401 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427678531 | Donnalou Zambelli | Dentist | 7 Ciara Dr, New Castle, PA 16105-4905 | 2020-04-18 |
| 1689228546 | Stewart Dental Care P.C. | Dentist | 500 Washington Rd, Pittsburgh, PA 15228-2817 | 2019-07-30 |
| 1780143941 | Lancaster Smile Center | Dentist | 1325 Brighton Ave Ste 7, Lititz, PA 17543-6505 | 2019-03-18 |
| 1609388651 | Joseph H Koch | Dentist | 801 Butler Pike, Mercer, PA 16137-5653 | 2017-10-31 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1528362530 | St Joseph Health Ministries | Dentist | 1929 Lincoln Hwy E Ste 150, Lancaster, PA 17602-3685 | 2011-01-05 |
| 1972818474 | New Britain Dental Center | Dentist | 108 W Butler Ave, New Britain, PA 18901-5108 | 2010-08-10 |
| 1710113444 | The Salvation Army | Dentist | 217 Sycamore St, Oil City, PA 16301-1443 | 2009-06-09 |
| 1376717298 | Victor Adrian Alos-rullan | Dentist | 6 Quigley Ln, Garnet Valley, PA 19061-1233 | 2008-04-22 |
| 1477721512 | Dino Robert Angelici | Dentist | 2341 Casswell Dr, Bethel Park, PA 15102-1963 | 2008-02-12 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.