Eileen Wang Reidsville PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8191 Issued in NC

Legal business name

EILEEN WANG REIDSVILLE PLLC

Practice address

207 Turner Dr
Reidsville, NC 27320-5726

Phone

(919) 489-8820

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Xiaojun Wang, DDS

Title

Owner

Phone

(919) 951-8022

Specialties & licenses 1

Addresses

Other names 1

• Southwood Dental Doing business as

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1194274886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GARRETT RD STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073487",
            "telephone_number": "919-489-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 TURNER DR",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205726",
            "telephone_number": "919-489-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN WANG REIDSVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "XIAOJUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-951-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.