Mark D Wang DMD Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK D WANG DMD INC.

Practice address

1309 N Grand Ave
Walnut, CA 91789-1317

Phone

(909) 594-7899

NPI assigned

Jan 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mark WangNPI 1174193288

Title

President

Phone

(909) 859-4424

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mark D Wang

  • General Practice Dentistry
  • Walnut, CA
  • NPI 1174193288
  NPD Authorized official
• Tien Chun D. Wang, DDS

  • General Practice Dentistry
  • Walnut, CA
  • NPI 1033232822
  NPD (past)

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1477314250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N GRAND AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N GRAND AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891317",
            "telephone_number": "909-594-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D WANG DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-859-4424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Purity W Macharia, RN
• Manese Dental Inc (Trinity Dental Care)
• Dario M Manese, DMD
• Liza M Manese, D.M.D.
• Carolyn Collins Mansour
• Kevin Mark, ATC, EMT-B
• Stacey Marr, PTA
• Daniel Eric Martinez
• Mary Chen MD Inc
• Maxwell M Nazari DDS Inc

• Dental Clinic/Center in Walnut, CA
• Providers in Walnut, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.