MARK E WONG D.D.S. NPI 1841224714

NPI Information

NPI: 1841224714
Provider Name: MARK E WONG, D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: UT PHYSICIANS

PECOS Registration: Yes

Address:
6550 FANNIN ST
2237
HOUSTON, TX
ZIP 77030
Phone: (713) 790-4600
Get Directions

Mark E Wong, D.D.S. is an oral and maxillofacial surgery dentist in Houston, TX with 26 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Mark E Wong, D.D.S. NPI is 1841224714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6550 FANNIN ST
2237
HOUSTON, TX
ZIP 77030-717
Phone: (713) 790-4600
Fax: (713) 793-1229

The NPI 1841224714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 12/14/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	F-21999	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U23820	MEDICARE UPIN	TEXAS
2	190009342	MEDICARE PIN	TEXAS
3	82X084	OTHER	TEXAS	BCBS
4	205055101	MEDICAID	TEXAS
5	8L18195	MEDICARE PIN	TEXAS
6	81Z306	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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