DR. IRWIN JEROME WEDNER (NPI# 1699727610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699727610 |
| Entity Type | Individual |
| Full Name | DR. IRWIN JEROME WEDNER |
| Credential | D.D.S. |
| Practice Address |
1321 N Harbor Blvd Suite 102 Fullerton CA 92835-4124 |
| Practice Telephone | 7148790085 |
| Practice Fax Number | 7148796260 |
| Mailing Telephone | 7148790085 |
| Mailing Fax Number | 7148796260 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
19987 | CA | Dental Providers |
| Street Address |
1321 N HARBOR BLVD SUITE 102 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550648 | Rajiv I Bhavsar | Internal Medicine | 1321 N Harbor Blvd, Suite # 302, Fullerton, CA 92835-4124 | 2005-07-04 |
| 1912449364 | R.t.hansen,jr., D.m.d., Inc. | Dentist | 1321 N Harbor Blvd, Suite 104, Fullerton, CA 92835-4124 | 2016-11-15 |
| 1467884882 | Atheni Yang Dba Fullerton Eye Center Optical | Eyewear Supplier (Equipment, not the service) | 1321 N Harbor Blvd, Suite 301, Fullerton, CA 92835-4124 | 2013-08-08 |
| 1154664985 | James N Berbos Dba Fullerton Eye Center Optical | Eyewear Supplier (Equipment, not the service) | 1321 N Harbor Blvd, Suite 300, Fullerton, CA 92835-4124 | 2013-03-29 |
| 1144553900 | Karen M Depaoli | Dentist | 1321 N Harbor Blvd, Suite 100, Fullerton, CA 92835-4124 | 2009-09-11 |
| 1720311418 | Karen M Depaoli, Dds Inc | Clinic/Center | 1321 N Harbor Blvd, Suite 100, Fullerton, CA 92835-4124 | 2009-09-11 |
| 1851592950 | C. Jack Lee, D.m.d., Inc. | Clinic/Center | 1321 N Harbor Blvd, Suite 200, Fullerton, CA 92835-4124 | 2007-05-29 |
| 1417177221 | Atheni Devera Yang | Optometrist | 1321 N Harbor Blvd, Fullerton, CA 92835-4124 | 2007-04-26 |
| 1851511794 | Jerome Edward Safarik | Dentist | 1321 N Harbor Blvd, Suite 106, Fullerton, CA 92835-4124 | 2007-04-25 |
| 1346372398 | Clyde K Kitchen | Ophthalmology | 1321 N Harbor Blvd, Suite 300, Fullerton, CA 92835-4124 | 2007-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544420 | Eric Cho, Inc | Dentist | 1640 Island Dr, Fullerton, CA 92833-1429 | 2014-06-25 |
| 1699804203 | Eric Hyon Cho | Dentist | 1640 Island Dr., Fullerton, CA 92833 | 2007-03-02 |
| 1710112677 | James Chou Dds Dental Group of Fullerton Inc | Dentist | 2949 Brea Blvd, Fullerton, CA 92835-2073 | 2009-05-21 |
| 1720126337 | John U. Choi | Dentist | 301 W Bastanchury Rd, Suite 255, Fullerton, CA 92835-3419 | 2007-02-03 |
| 1770673287 | Donald S. Clem IIi | Dentist | 220 Laguna Rd, Suite 3, Fullerton, CA 92835-2523 | 2006-10-13 |
| 1538254396 | Donald S. Clem,iii Dds Inc. Nelson T. Yen Dds, Ms Inc. | Dentist | 220 Laguna Rd, Suite 3, Fullerton, CA 92835-2523 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
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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.