Provider Demographics
NPI:1508084989
Name:WESSEL, DAVID NORMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NORMAN
Last Name:WESSEL
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:320 FORT DUQUESNE BLVD
Mailing Address - Street 2:GATEWAY TOWERS SUITE 225
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1402
Mailing Address - Country:US
Mailing Address - Phone:412-261-3136
Mailing Address - Fax:412-261-1117
Practice Address - Street 1:320 FORT DUQUESNE BLVD
Practice Address - Street 2:GATEWAY TOWERS SUITE 225
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1402
Practice Address - Country:US
Practice Address - Phone:412-261-3136
Practice Address - Fax:412-261-1117
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA19665-L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics