Terry Wang, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3607 Issued in ME

Practice address

211 Mount Auburn Ave
Auburn, ME 04210-8521

Phone

(207) 514-7171

Fax

(207) 514-7177

NPI assigned

May 27, 2005

Last updated

Jul 13, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2017 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Central Maine Oral & Maxillofacial Surgery Associates, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Auburn, ME
  • NPI 1982763801
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1174526867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MOUNT AUBURN AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108521",
            "telephone_number": "207-514-7171",
            "fax_number": "207-514-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MOUNT AUBURN AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108521",
            "telephone_number": "207-514-7171",
            "fax_number": "207-514-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "3607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326970099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Wakefield, LCPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1868)
• Wal-Mart Stores East, LP (Vision Center 30-1868)
• Walgreen Co (Walgreens #19397)
• Walgreen Eastern Co Inc (Walgreens #19162)
• Brian Adam Ward, LMSW-CC
• Rois Neil Ward, DDS
• Jennifer Anne Waterman, DO
• Edward A Waybright, MD
• Johanna Webber, LMSW-CC

• Oral and Maxillofacial Surgery (Dentist) in Auburn, ME
• Providers in Auburn, ME by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.