Organization Active NPI

GW Dental Studio PC

  • General Practice Dentistry
  • Bayside, NY
National Provider Identifier
1386467512
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GW DENTAL STUDIO PC
Practice address
20726 Northern Blvd Ste 2B
Bayside, NY 11361-3147
Phone
(718) 885-4323
Fax
(718) 885-4325
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Dr. Gordon Wang, DDSNPI 1750624458
Title
Dentist
Phone
(646) 703-4376

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

20726 Northern Blvd Ste 2B
Bayside, NY 11361-3147

Mailing address

20726 Northern Blvd Ste 2B
Bayside, NY 11361-3147
Phone (718) 885-4323

National Provider Directory

National Provider Directory

Locations

20726 Northern Blvd
Ste 2B
Bayside, NY 11361
Phone (718) 885-4323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1386467512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20726 NORTHERN BLVD STE 2B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613147",
            "telephone_number": "718-885-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20726 NORTHERN BLVD STE 2B",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613147",
            "telephone_number": "718-885-4323",
            "fax_number": "718-885-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GW DENTAL STUDIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-703-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.