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Keisuke Wada, DMD
NPI 1376897793 · Periodontics · Philadelphia, PA
Keisuke Wada, DMD is a Periodontics provider in Philadelphia, PA (NPI 1376897793).
Provider details
- NPI number
- 1376897793
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS039376 (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3401 Market Street
Suite 110
Philadelphia, PA 19104
Phone: (215) 573-8400
Street-level locationGet directions
Mailing address
150 E Wynnewood Rd
Wynnewood, PA 19096
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2012-11-07
Frequently asked questions
- What is Keisuke Wada's NPI number?
- Keisuke Wada's National Provider Identifier (NPI) is 1376897793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keisuke Wada's specialty?
- Keisuke Wada is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Keisuke Wada located?
- Keisuke Wada's practice location on file with NPPES is 3401 Market Street, Philadelphia, PA 19104.
- What is Keisuke Wada's phone number?
- The practice phone number listed in the NPPES registry for Keisuke Wada is (215) 573-8400.
- Is Keisuke Wada's NPI active?
- Yes — Keisuke Wada's NPI (1376897793) is active in the NPPES registry as of the last update on 2012-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.