DR. NATHAN AUGUSTIN WUEBBELS DMD MD NPI 1295902096

NPI Information

  • NPI: 1295902096
  • Provider Name: DR. NATHAN AUGUSTIN WUEBBELS, DMD, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 BERGEN ST
    ROOM C401
    NEWARK, NJ
    ZIP 07103
  • Phone: (973) 972-3126

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NPI Details

DR. Nathan Augustin Wuebbels, DMD, MD is an oral and maxillofacial surgery dentist in Newark, NJ with 22 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Nathan Augustin Wuebbels, DMD, MD NPI is 1295902096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
Graduation Year:2004

The provider's business location address is:

150 BERGEN ST
ROOM C401
NEWARK, NJ
ZIP 07103-496
Phone: (973) 972-3126

The NPI 1295902096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 6/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist019.026729ILLINOISNo
21223S0112XDentistOral and Maxillofacial SurgeryDI02440600NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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