Individual provider Active NPI

Allan Wong, DMD

  • General Practice Dentistry
  • Marlton, NJ
National Provider Identifier
1538055439
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI03095800 Issued in NJ
Practice address
320 Evesboro Medford Rd Ste 101
Marlton, NJ 08053-5733
Phone
(856) 334-6010
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI03095800 NJ Primary

Addresses

Primary practice location

320 Evesboro Medford Rd Ste 101
Marlton, NJ 08053-5733

Mailing address

92 Hughes Ave
Lawrence Township, NJ 08648-3764
Phone (347) 301-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI03095800NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marlton LV Dental LLC General Practice CurrentSince Jun 23, 2025 Accepting new patients

Locations

320 Evesboro Medford Rd
Ste 101
Marlton, NJ 08053
Phone (856) 334-6010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1538055439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HUGHES AVE",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086483764",
            "telephone_number": "347-301-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EVESBORO MEDFORD RD STE 101",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535733",
            "telephone_number": "856-334-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALLAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03095800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.