Active NPI
Charles Wang, D.D.S.
- Dentist
- Glen Burnie, MD
National Provider Identifier
1104201474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18220
- Practice address
- 1720 Crain Hwy S Ste 103
Glen Burnie, MD 21061-5631 - Phone
- (323) 287-6840
- NPI assigned
- Jul 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10151 | NC | |
| Dentist | 122300000X | 18220 | MD | Primary |
Addresses
Primary practice location
1720 Crain Hwy S Ste 103
Glen Burnie, MD 21061-5631
Mailing address
7201 Alden Way Unit 3042
Hanover, MD 21076-2482
Phone (323) 287-6840
Other practice location 1
261 Belvoir Hwy
Greenville, NC 27834-8193
Phone (252) 695-6355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18220 | MD | MD | Clinical Social Worker |
| 10151 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1104201474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 ALDEN WAY UNIT 3042",
"city": "HANOVER",
"state": "MD",
"postal_code": "210762482",
"telephone_number": "323-287-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 CRAIN HWY S STE 103",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615631",
"telephone_number": "323-287-6840"
}
],
"practiceLocations": [
{
"address_1": "261 Belvoir Hwy",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278348193",
"country_code": "US",
"telephone_number": "252-695-6355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "CHARLES",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10151",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.