AMA D WALLEY (NPI# 1649269283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649269283 |
| Entity Type | Individual |
| Full Name | AMA D WALLEY |
| Credential | DMD |
| Practice Address |
1220 W Chester Pike Havertown PA 19083-3339 |
| Practice Telephone | 4844543230 |
| Mailing Telephone | 4844543230 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN031436A | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0182803704 | 05 |
| Street Address |
1220 W CHESTER PIKE |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804040 | Sheldon Marvin Bernick | Dentist | 1220 W Chester Pike, Havertown, PA 19083-3339 | 2005-07-12 |
| 1003158528 | Erin Ruane Bauerle | Dentist | 1220 W Chester Pike, Havertown, PA 19083-3339 | 2013-03-22 |
| 1336202787 | Broomall Pediatric Dentistry & Orthodontics,p.c. | Dentist | 1220 W Chester Pike, Havertown, PA 19083-3339 | 2006-12-18 |
| 1154310845 | Ibrahim A Durra | Dentist | 1220 W Chester Pike, Havertown, PA 19083-3339 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| 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 |
|---|---|---|---|---|
| 1003355280 | Lee Gifford Taylor Sr. | Dentist | 710 Darby Rd, Havertown, PA 19083-4606 | 2017-02-21 |
| 1568514461 | Mitchell David Scheier | Dentist | 109 North Eagle Rd, Suite 2, Havertown, PA 19083 | 2007-01-18 |
| 1093873606 | Lee G Taylor Dds PC | Dentist | 710 Darby Road, Havertown, PA 19083 | 2006-12-05 |
| 1073614947 | Casimir M Wolanin | Dentist | 1210 Darby Rd, Havertown, PA 19083-3603 | 2006-09-25 |
| 1568566966 | Richard Francis Pfeiffer | Dentist | 2416 Darby Rd, Havertown, PA 19083 | 2006-09-08 |
| 1366556573 | Myra K Petras | Dentist | 810 Darby Road, Havertown, PA 19083 | 2006-08-18 |
| 1902853088 | Marilyn C Bevacqua | Dentist | 40 Brookline Blvd, Havertown, PA 19083-3802 | 2006-05-27 |
| 1205498706 | Adam Dai | Dentist | 710 Darby Rd, Havertown, PA 19083-4606 | 2019-07-03 |
| 1386189116 | Jasmine Roxana Shafagh | Dentist | 100 S Eagle Rd, Havertown, PA 19083-3202 | 2017-01-03 |
| 1700331253 | Dental Cloud | Dentist | 40 Brookline Blvd, Havertown, PA 19083-3802 | 2016-08-24 |
| Find all providers in HAVERTOWN | ||||
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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.