Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brendan Wille

Individual provider Dentist · NPI 1275384463

Brendan Wille is a Dentist in New York, New York. Graduated from University of Maryland at Baltimore School of Dentistry in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
2
Trained at
University of Maryland at Baltimore School of Dentistry
Licensed in
NY
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

51 E 125th St
New York, NY 10035-1685
Phone: (646) 827-9819
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 064999 (NY)

Record details

NPI number1275384463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2024
Last updated in NPPESSeptember 6, 2025
Certification dateSeptember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolUNIVERSITY OF MARYLAND AT BALTIMORE SCHOOL OF DENTISTRY
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York