Gregory G. Wang, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GREGORY G. WANG, DDS, PLLC

Practice address

22010 17TH Ave SE Ste B
Bothell, WA 98021-8486

Phone

(425) 481-8571

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Gregory Gordon Wang, DDSNPI 1083042204

Title

Member

Phone

(646) 450-0731

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Wang, D.D.S.

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1083042204
  NPD Authorized official
• Bruce Patrick, D.D.S.

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1861547424
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1144062001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12909 NE 201ST ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723702",
            "telephone_number": "646-450-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22010 17TH AVE SE STE B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218486",
            "telephone_number": "425-481-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY G. WANG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-450-0731",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Gratzer, OTR/L
• Marlene J Graves, FNP-C
• Shellie Gravitt, LMFT
• Hannah Elizabeth Greene
• Erika Laine Greenup
• April Sotelo Greninger, MS
• Kelly P Grenner, ARNP-FNP
• Kristina A Grey, DDS, MSD
• Mallory Griffin, RN
• Nova Griffin, LMT

• Dental Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.