Kerry Wu DMD PC

General Practice Dentistry · Waltham, MA

Organization Active NPI

NPI number 1710009477

Practice location

30 Grant St
Waltham, MA 02453
Phone
(781) 894-1634
Fax
(781) 899-3073

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NPI record

NPI
1710009477
Entity type
Organization (Type 2)
Enumeration date
April 4, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19491 MA

Authorized official

Name
Mr. Kerry Wu, DMD
Title
President Dentist
Phone
(781) 894-1634

About Kerry Wu DMD PC

Kerry Wu DMD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 30 Grant St, Waltham, MA 02453. The NPI number 1710009477 was assigned on April 4, 2007 and the record was last updated on August 22, 2020.

Kerry Wu DMD PC lists a license in the registry: #19491 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Kerry Wu, DMD, President Dentist.

Frequently asked questions

What is the NPI number of Kerry Wu DMD PC?

The NPI number is 1710009477.

What is the phone number of Kerry Wu DMD PC?

The phone number listed for the practice location is (781) 894-1634.

Where is Kerry Wu DMD PC located?

30 Grant St, Waltham, MA 02453.

What is the taxonomy code for Kerry Wu DMD PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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