Individual provider Active NPI

Molly Mae Wong, DMD

  • General Practice Dentistry
  • Columbia, PA
National Provider Identifier
1013807858
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045259 Issued in PA
Practice address
430 Walnut St
Columbia, PA 17512-1295
Phone
(717) 356-2233
NPI assigned
Jul 3, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045259 PA Primary

Addresses

Primary practice location

430 Walnut St
Columbia, PA 17512-1295

Mailing address

116 S George St
York, PA 17401-1474
Phone (717) 801-4846

Other practice location 1

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722004032 PA Practitioner - Dentist 2466968854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS045259PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Health Corporation CurrentSince Jul 9, 2025 Accepting new patients
Family First Health Corporation CurrentSince Sep 1, 2025 Accepting new patients
Family First Health Corporation CurrentSince Sep 1, 2025 Accepting new patients

Locations

430 Walnut St
Columbia, PA 17512
Phone (717) 356-2233

116 S George St
York, PA 17401
Phone (717) 801-4846

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1013807858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011474",
            "telephone_number": "717-801-4846",
            "fax_number": "717-854-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WALNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121295",
            "telephone_number": "717-356-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174011474",
            "country_code": "US",
            "telephone_number": "717-845-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MOLLY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

Verify at the official NPI Registry.