Lynne My-Linh Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50402 Issued in CA

Practice address

Blende Dental Group
390 Laurel St, Suite 310
San Francisco, CA 94118

Phone

(415) 563-4261

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blende Dental Corporation

  dba Blende Dental Group

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1053199000
  NPD (past)
• Northern California Anesthesia

  dba Northern California Anesthesia Physicians, Inc.

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1871541649
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891849873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SILVER AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941341227",
            "telephone_number": "415-819-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLENDE DENTAL GROUP",
            "address_2": "390 LAUREL ST, SUITE 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-563-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "LYNNE",
        "middle_name": "MY-LINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liam Wong, MD
• Lila Wong, MS, CCC-SLP
• Linda Wong, OD
• Lisa Wong, PHARM. D.
• Lonnie K Wong, RD
• Marcus Wong
• Marcus Wong
• Margaret Wong
• Marilyn Pang-Wan Wong, MD
• Mary Wong, PSY.D., BCBA

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, 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 Jul 8, 2007; 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.