Vincent Wong, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58009 Issued in CA

Practice address

3320 Webster St
Oakland, CA 94609-3105

Phone

(510) 452-4466

NPI assigned

Mar 13, 2009

Sex

Male

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 and National Provider Directory roles.

• Vincent Wong, DDS, a Professional Dental Corporation

  dba Happy Tooth

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1780135442
  NPD (past) Authorized official

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1932340320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093105",
            "telephone_number": "510-452-4466"
        },
        {
            "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": {
        "last_name": "WONG",
        "first_name": "VINCENT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatum Jo Wong, PT, DPT
• Tiffany Marie Wong
• Tiffany Mei Yin Wong
• Tony W. Wong, MD
• Victoria I Wong, NP
• Waiman Wong, MFT TRAINEE
• Wing Yee Wong, M.S., ED.S
• Winston F Wong, MD
• Wonjoo Lee, DDS, Inc. (Grand Lake Dental)
• Adam Woo, PHARMD

• 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 27, 2021; 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.