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

Dr. Keisuke Wada, DMD

Individual provider Periodontics · NPI 1376897793

Dr. Keisuke Wada, DMD is a Periodontics in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3401 Market St Ste 110
Philadelphia, PA 19104
Phone: (215) 573-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS039376 (PA)

Record details

NPI number1376897793
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 7, 2012

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