Individual provider Active NPI

Charles Wang, D.D.S.

  • Dentist
  • Glen Burnie, MD
National Provider Identifier
1104201474
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18220 Issued in MD
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

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18220MDMDClinical Social Worker
10151NCMDOccupational 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.

Verify at the official NPI Registry.