Jacqueline J Wong, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60657443 Issued in WA

Practice address

1959 NE Pacific St
Seattle, WA 98195-3926

Phone

(206) 685-2937

NPI assigned

Feb 4, 2016

Last updated

Oct 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Washington School of Dentistry, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Uw School of DentistryGroup PAC ID 3678948478, 19 clinicians

Olson Wong PLLCGroup PAC ID 0446799308, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Olson Wong, PLLC.

  • Oral Medicine Dentistry
  • Bellevue, WA
  • NPI 1023849544
  Medicare reassignment Care Compare group NPD Authorized official
• Uw School of Dentistry

  dba School of Dentistry

  • Dentist
  • Seattle, WA
  • NPI 1972676971
  Medicare reassignment Care Compare group NPD
• University of Washington

  dba University of Washington Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1326002049

  Single Specialty

  Medicare reassignment NPD
• Awla Olson Wong, PLLC

  dba Northwest Center for Oral Medicine

  • Dental Clinic/Center
  • Redmond, WA
  • NPI 1043068232
  NPD Authorized official
• University of Washington

  dba University of Washington Medical Center Ambulatory

  • Community/Retail Pharmacy
  • Seattle, WA
  • NPI 1013950336
  NPD
• University of Washington

  dba UW - Dentists Oral Medicine

  • Dentist
  • Seattle, WA
  • NPI 1487717757
  NPD

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1417315490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 NE 124TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342572",
            "telephone_number": "253-234-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981953926",
            "telephone_number": "206-685-2937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 166th Ave NE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523999",
            "country_code": "US",
            "telephone_number": "425-300-9056",
            "fax_number": "425-300-9057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "RR 60576274",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "WA",
            "license": "DE60657443",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60657443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fei Lam Wong
• Gigi Wong, PHARM.D.
• Grant J Wong, DDS
• Henry Wong, PHARMD
• Isadora Arevalo Wong, M.A., LMHC
• Jacqueline Y Wong, MD
• Jamie Angela Wong, M.D.
• Jason Wong
• Jeffrey Hu Wong, ND, LAC, RN
• Jennifer Fung Wong

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.