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WEIDONG WANG D. D. S. CORP NPI 1457767048


NPI Information

NPI: 1457767048
Provider Name: WEIDONG WANG D. D. S. CORP

Other Name: A NEW IMAGE DENTAL

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1165 FREMONT BLVD
SEASIDE, CA
ZIP 93955
Phone: (831) 392-1000
Get Directions

WEIDONG WANG D. D. S. CORP is a preferred provider organization in Seaside, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WEIDONG WANG D. D. S. CORP NPI is 1457767048. The provider is registered as an organization entity type.
The provider Other Name Is A New Image Dental.

The provider's business location address is:

1165 FREMONT BLVD
SEASIDE, CA
ZIP 93955-741
Phone: (831) 392-1000
Fax: (831) 392-1010

The provider's authorized official is Weidong Wang .
The authorized official title is Dentist /owner and has the following contact phone number (831) 392-1000.

The enumeration date for this NPI number is 7/3/2014 and was last updated on 7/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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