Stephen Glen Wong, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34800 Issued in CA

Practice address

2970 Hilltop Mall Rd
Suite 212
Richmond, CA 94806-1947

Phone

(510) 222-4178

Fax

(510) 222-8677

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• M.H. Wong Dental Corporation

  • Dentist
  • Richmond, CA
  • NPI 1932784717
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144300997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "SUITE 212",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061947",
            "telephone_number": "510-222-4178",
            "fax_number": "510-222-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "SUITE 212",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061947",
            "telephone_number": "510-222-4178",
            "fax_number": "510-222-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEPHEN",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia K. Wolfe, MD
• Kathryn Grace Wolfteich
• Erica Wong, OTR/L
• Martin David Wong, D.M.D
• Michael Harold Wong, DDS
• Prescott Justin Woodford
• Vanessa Carmen Woodford
• Darcell Renee Woods
• Danny Woolever, RCP
• Susan Marie Woolf, MFT INTERN

• General Practice Dentistry in Richmond, CA
• Providers in Richmond, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.