Organization Active NPI

W Dental, PC

  • Dentist
  • Dallas, TX
National Provider Identifier
1164736658
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22696 Issued in TX
Legal business name
W DENTAL, PC
Practice address
13525 Montfort Dr
Dallas, TX 75240-5120
Phone
(972) 385-4855
Fax
(972) 385-8361
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. George Wang, D.D.S.NPI 1487867198
Title
President
Phone
(214) 215-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22696 TX Primary

Addresses

Primary practice location

13525 Montfort Dr
Dallas, TX 75240-5120

Mailing address

13525 Montfort Dr
Dallas, TX 75240-5120
Phone (972) 385-4855

National Provider Directory

National Provider Directory

Locations

13525 Montfort Dr
Dallas, TX 75240
Phone (972) 385-4855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1164736658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13525 MONTFORT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405120",
            "telephone_number": "972-385-4855",
            "fax_number": "972-385-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 MONTFORT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405120",
            "telephone_number": "972-385-4855",
            "fax_number": "972-385-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-215-2396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.