Amy B. Wong, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51156 Issued in CA

Legal business name

AMY B. WONG, D.D.S., INC.

Practice address

39358 Fremont Blvd.
Fremont, CA 94538-1320

Phone

(510) 818-1891

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amy B Wong, D.D.S.

Title

President and Ceo

Phone

(510) 818-1891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831243104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39358 FREMONT BLVD.",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381320",
            "telephone_number": "510-818-1891",
            "fax_number": "510-405-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39358 FREMONT BLVD.",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381320",
            "telephone_number": "510-818-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY B. WONG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-818-1891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banafsha Amiri
• Sabrina Amiri
• Benjamin Amlicke
• Delilah Louise Amos
• Joseph Yosi Amram, MA
• Apoorva Anand, DPT
• Neha Anand
• Christel L Andersen, LCSW
• Steven C. Andersen, M.D.
• Melissa Beth Anderson-Lin, D.M.D.

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, 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 Aug 22, 2020; 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.