Austin Tyler Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS113451 Issued in CA

Practice address

3456 Mowry Ave
Fremont, CA 94538-1422

Phone

(510) 713-7333

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1437062239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 IRONSHOE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382129",
            "telephone_number": "408-784-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381422",
            "telephone_number": "510-713-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "AUSTIN",
        "middle_name": "TYLER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS113451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WNC Medical Supply LLC
• Grace Wolk
• Women's Health Specialists
• Grace Wong Leung
• Helen Man Ying Wong-Sexton, M.D.
• Brandon Wong
• Candy Fung Mei Wong, MD
• Christina M. Wong, MD
• Dan C. Wong, MD
• Devin Wong

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.