Integrated Endodontics PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

INTEGRATED ENDODONTICS PLLC

Practice address

355 Ovington Ave Ste 101
Brooklyn, NY 11209-1457

Phone

(718) 833-2880

NPI assigned

Nov 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Wilson Duong, DDSNPI 1306287453

Title

Member

Phone

(347) 464-8378

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wilson Duong, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1306287453
  NPD (past) Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1730725516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 85TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094705",
            "telephone_number": "347-464-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVE STE 101",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091457",
            "telephone_number": "718-833-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-464-8378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.