Stephanie Wong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS042653 Issued in PA

Practice address

5161 William Flynn Hwy Unit B
Gibsonia, PA 15044-8401

Phone

(724) 939-3032

NPI assigned

May 16, 2020

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1730701384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22889 SHELBURNE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222015",
            "telephone_number": "216-577-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 WILLIAM FLYNN HWY UNIT B",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448401",
            "telephone_number": "724-939-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "STEPHANIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-16",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas A Wilson, D.M.D.
• Carolyn Wincer
• Tod A Wirtz, DMD
• Cheryl Wist, PTA
• Lorene C. Won-Winner
• Tania Wood, OTR
• Kathy Workman, PT
• Kimberly Wright
• Lydia Ann Wudarczyk, PHARMD
• Jamie Dale Wyels, R.PH.

• General Practice Dentistry in Gibsonia, PA
• Providers in Gibsonia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.