Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194019901 Individual Practitioner Male Practitioner

Dr. Andy Wan , DDS

Dentist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Andy Wan, DDS is a registered healthcare professional specializing in Dentist in Bronx, NY. Practice services are available at 4422 THIRD AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4422 Third Avenue
St. Barnabas Hospital/mills Building - Dental

Bronx, NY 10457

Telephone 7183329888
Associated Practice Facility / Clinic
🏢 St. Barnabas Ob Gyn, Pc Facility NPI 1124060595

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
305 Specialists

Practicing in Bronx, NY (6355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 056280

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Ilona Shylinska , MD

Obstetrics & Gynecology

NPI 1013145663

Doctor of Medicine (M.D.)

Dr. David Sabbah , DMD

Student in an Organized Health Care Education/Training Program

NPI 1013574052

Doctor of Dental Medicine

Jeremy Shugar

Neuromusculoskeletal Medicine & OMM

NPI 1033523303
Dr. Mehrdad Alaie , DO

Emergency Medicine

NPI 1043347545

Doctor of Osteopathic Medicine (D.O.)

NPI 1073685038

Doctor of Optometry

David Campino

Student in an Organized Health Care Education/Training Program

NPI 1093641656

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2012

Registered at 4422 THIRD AVENUE, ST. BARNABAS HOSPITAL/MILLS BUILDING - DENTAL, BRONX, NY 10457 (Tel: 7183329888)

📍
Updated Business Mailing Address October 17, 2012

Registered at 210 CANAL ST, NEW YORK, NY 100134155 (Tel: 2123850001)

👤
Provider Name / Credentials Updated October 17, 2012

Recorded as ANDY WAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2012

Dentist (License #056280 in NY)

🟢
Initial NPI Registration & Enumeration June 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194019901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2011
Last Update: October 17, 2012
Sole Proprietor: No

Mailing Address

210 Canal St

New York, NY 100134155

Phone: 2123850001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.