Eileen Wang PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8191 Issued in NC

Legal business name

EILEEN WANG PLLC

Practice address

4300 Garrett Rd Ste D
Durham, NC 27707-3487

Phone

(919) 489-8820

Fax

(919) 489-8825

NPI assigned

May 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shuquan Zong

Title

Office Manager

Phone

(919) 489-8820

Specialties & licenses 1

Addresses

Tax ID family

Eileen Wang DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eileen Wang DDS PLLC

  • Dentist
  • Durham, NC
  • NPI 1134378045
  NPD tax ID

Locations

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1083059893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GARRETT RD STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073487",
            "telephone_number": "919-489-8820",
            "fax_number": "919-489-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GARRETT RD STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073487",
            "telephone_number": "919-489-8820",
            "fax_number": "919-489-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN WANG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "ZONG",
        "authorized_official_first_name": "SHUQUAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-489-8820",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Zoe Marie Eichner, MD
• Grant Michael Eichstadt, DC
• Lindsey Eichwald, PHARMD
• Kristina Marie Eilbacher, PA-C, LATC, CSCS
• Eileen Wang DDS PLLC
• Lawrence Eimers, PH.D
• Lisa M Einhorn, M.D.
• Brynna Eisele, MD, PHD
• Michael Eisen, MA, LPC
• Bradley Eisenberg

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.