Tanya Wong DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DI 19422 Issued in NJ

Legal business name

TANYA WONG DDS LLC

Practice address

490 E Main St
Suite 103
Denville, NJ 07834-2484

Phone

(973) 586-4444

Fax

(973) 586-4455

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Wong, DDS

Title

Dentist/Owner

Phone

(201) 452-7818

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental of Denville Doing business as

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1770026197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342484",
            "telephone_number": "973-586-4444",
            "fax_number": "973-586-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342484",
            "telephone_number": "973-586-4444",
            "fax_number": "973-586-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA WONG DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "201-452-7818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI 19422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental of Denville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burton Sutker, M.D.
• Laurie Swift, MSW, LCSW
• Rizwana Syed, M.B.B.S
• Anna P Szemiot, M.D.
• Donna Marie Tafuri-Roselli, APN
• Angela Tarantino
• Richard Taylor, M.D.
• Beth E Tecchio, LCSW
• Sravani Temburu, M.D.,
• Jagdish G Thakur, M.D.

• Dental Clinic/Center in Denville, NJ
• Providers in Denville, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.