David Chun-Chieh Wang, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013957 Issued in GA

Practice address

670 Johnson Ferry Rd
Marietta, GA 30068-4627

Phone

(678) 801-6700

Fax

(678) 903-2428

NPI assigned

Aug 10, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Engineered Smiles, LLC

  • Dentist
  • Marietta, GA
  • NPI 1578000444
  NPD (past) Authorized official
• Providence Dental Spa of East Cobb, LLC

  • Dental Clinic/Center
  • Marietta, GA
  • NPI 1467277228
  NPD
• Midtown Dental Center

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1902073513
  NPD (past)
• Suittdmd LLC

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1407420060
  NPD (past)

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1992937981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684627",
            "telephone_number": "678-801-6700",
            "fax_number": "678-903-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684627",
            "telephone_number": "678-801-6700",
            "fax_number": "678-903-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "DAVID",
        "middle_name": "CHUN-CHIEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Anne Walters, APRN
• Steven Walters, MD
• Emma Walton
• Courtney E Walz, H.A.D., A.C.A.
• Wanda Devaughn, LCSW, PC
• Kevin Ethan Wang, DO
• Niping Wang, BDS, PHD
• Peixin Wang, CRNA
• Sydney Momo Wang
• Taian Wang, L.AC.

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.