Vincent Wong, DDS, a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58009 Issued in CA

Legal business name

VINCENT WONG, DDS, A PROFESSIONAL DENTAL CORPORATION

Practice address

3320 Webster St
Oakland, CA 94609-3105

Phone

(510) 452-4466

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Wong, D.D.S.NPI 1932340320

Title

President

Phone

(415) 601-9864

Specialties & licenses 1

Addresses

Other names 1

• Happy Tooth Doing business as

Locations

Practitioners 2

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

• Vincent Wong, D.D.S.

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1932340320
  NPD (past) Authorized official
• Robert Wayne Aubuchon, DDS, MSD

  • Pediatric Dentistry
  • Oakland, CA
  • NPI 1871667063
  NPD (past)

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1780135442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 OAKRIDGE DR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093105",
            "telephone_number": "510-452-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT WONG, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-601-9864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Tooth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofia Villegas
• Anna Liza D. Villena, NP
• Amber Villescas
• Natasha SM Vinakor, LCSW
• Vincent Academy
• Allyson Vincent
• Emily Vincent, MS CCC-SLP
• Thelmisha Vincent, BCBA, LMHC
• Rachel Burdick Vinkey, MD
• Jameson Grant Chua Vinoya, DPT

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.