Jenny H Wang

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12274 Issued in MD

Practice address

2106 Fallston Rd
Fallston, MD 21047-1442

Phone

(410) 893-0513

Fax

(410) 893-7770

NPI assigned

Dec 14, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fallston Dental Care

  • General Practice Dentistry
  • Fallston, MD
  • NPI 1013033505
  NPD (past)
• Matthew E Winter DDS PA

  dba Fallston Dental Care

  • Dental Clinic/Center
  • Fallston, MD
  • NPI 1770417115
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184786204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13417 FORK RD",
            "city": "BALDWIN",
            "state": "MD",
            "postal_code": "210139303",
            "telephone_number": "410-817-9749",
            "fax_number": "410-893-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 FALLSTON RD",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210471442",
            "telephone_number": "410-893-0513",
            "fax_number": "410-893-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "JENNY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD STATE LICENSE",
            "identifier": "12274",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3780)
• Wal-Mart Stores East LP (Vision Center 30-3780)
• Walgreen Co (Walgreens #19144)
• Walgreen Co. (Walgreens #19144)
• Doiless Walker, OD
• Wellness Together, LLC
• Brittany Wenzel, PHARMD
• Brooke Joan West, PA-C
• Erin Wetzelberger, OTR/L
• Jessica Nicole Whitehead, LAT, ATC

• General Practice Dentistry in Fallston, MD
• Providers in Fallston, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.