Provider Demographics
NPI:1043252422
Name:DR WECHTLER & ASSOC , INC.
Entity type:Organization
Organization Name:DR WECHTLER & ASSOC , INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:WECHTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-282-4900
Mailing Address - Street 1:202 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036
Mailing Address - Country:US
Mailing Address - Phone:610-282-4900
Mailing Address - Fax:610-282-1665
Practice Address - Street 1:202 S 3RD ST
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036
Practice Address - Country:US
Practice Address - Phone:610-282-4900
Practice Address - Fax:610-282-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 0193131223G0001X
PADS 0364991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty