Connie Wang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1859872 Issued in MA

Practice address

256 Great Rd Ste 5
Littleton, MA 01460-1916

Phone

(978) 486-8261

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nashoba Family Dentists

  • General Practice Dentistry
  • Littleton, MA
  • NPI 1518928860
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1508559014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 MINISTERIAL RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028791326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 GREAT RD STE 5",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601916",
            "telephone_number": "978-486-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "CONNIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-03-05",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859872",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transitions Counseling Center
• Kristen Tripp, M.S., LMHC
• Mona Eden Tye, LICSW
• Ultimate Rehab Specialists
• Emily Marie Wallace, LMHC
• Olivia Wang, DPT
• Arianna White
• Gwendolyn Anne Wilbert, DPT
• Rosemarie C Wing, LICSW
• Diane Winkelman

• Dentist in Littleton, MA
• Providers in Littleton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.