Jenny V. Wang DDS II, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JENNY V. WANG DDS II, LLC

Doing business as

Surprise Dental Care

Practice address

15508 W Bell Rd Ste 110
Surprise, AZ 85374-2432

Phone

(623) 583-8895

Fax

(623) 975-7111

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Virginia Wang, DDSNPI 1235296633

Title

Owner

Phone

(623) 583-8895

Specialties & licenses 1

Addresses

Other names 1

• Surprise Dental Care Doing business as

Locations

Practitioners 1

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

• Jenny V Wang, DDS

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1235296633
  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1730949108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742432",
            "telephone_number": "623-583-8895",
            "fax_number": "623-975-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742432",
            "telephone_number": "623-583-8895",
            "fax_number": "623-975-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY V. WANG DDS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-583-8895",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surprise Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Jasper, OWNER
• Parita Javia
• Stephanie Jenkins, R.N.
• Gretchen Jennings, ED.S
• Michelle Nicola Jennings
• Aaron J. Jensen, PA-C
• Danielle Jensen
• Matthew O. Jensen, DMD
• Travis Steven Jensen, DPM
• Naomi Nicole Jimenez, NP

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.