M.H. Wong Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

M.H. WONG DENTAL CORPORATION

Practice address

2970 Hilltop Mall Rd Ste 212
Richmond, CA 94806-1949

Phone

(510) 222-4178

NPI assigned

Mar 14, 2021

Organization subpart

No

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

Authorized official

Name

Michael Wong, DDSNPI 1750805560

Title

President

Phone

(510) 734-1965

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Michael Harold Wong, DDS

  • General Practice Dentistry
  • Richmond, CA
  • NPI 1750805560
  NPD Authorized official
• Martin David Wong, D.M.D

  • General Practice Dentistry
  • Richmond, CA
  • NPI 1174603906
  NPD (past)
• Stephen Glen Wong, D.M.D.

  • General Practice Dentistry
  • Richmond, CA
  • NPI 1144300997
  NPD (past)

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615680000000",
    "number": "1932784717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HENRY AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD STE 212",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061949",
            "telephone_number": "510-222-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 1st St",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945103241",
            "country_code": "US",
            "telephone_number": "414-395-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M.H. WONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-734-1965",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1750805560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Lucero-Funes
• Kathleen Jeanette Luedeke
• Abiel Lumabas
• Mollie Lyddane, PSYD
• Lynxdme Corporation
• Maryanne Macadangdang
• Edwin James Maccaskie, AOD COUNSELOR
• Desiree Perea Macias, RD
• Kim I Mack, MFT
• Ann Margaret Mackenzie, R N P

• Dentist in Richmond, CA
• Providers in Richmond, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.