Eric T. Wong D.D.S., a Professional Corp

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

58395 Issued in CA

Legal business name

ERIC T. WONG D.D.S., A PROFESSIONAL CORP

Practice address

23326 Hawthorne Blvd Ste 310
Torrance, CA 90505-3757

Phone

(310) 378-4220

Fax

(310) 378-9222

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eric Thomas Wong, D.D.S.NPI 1508071358

Title

President

Phone

(310) 259-2114

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.

• Eric Thomas Wong, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Torrance, CA
  • NPI 1508071358
  NPD (past) Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1811214356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD STE 310",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053757",
            "telephone_number": "310-378-4220",
            "fax_number": "310-378-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD STE 310",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053757",
            "telephone_number": "310-378-4220",
            "fax_number": "310-378-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC T. WONG D.D.S., A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-259-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.