JASON WONG DDS NPI 1942645528

NPI Information

NPI: 1942645528
Provider Name: JASON WONG, DDS
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

Address:
695 E COTTONWOOD LN
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 876-5200
Get Directions

Jason Wong, DDS is a dentist anesthesiologist dentist in Casa Grande, AZ. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. Jason Wong, DDS NPI is 1942645528. 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:

695 E COTTONWOOD LN
CASA GRANDE, AZ
ZIP 85122-023
Phone: (520) 876-5200

The enumeration date for this NPI number is 5/8/2013 and was last updated on 3/17/2018.

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	122300000X	Dentist		057530	NEW YORK	No
2	122300000X	Dentist		9559	ARIZONA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	1223D0004X	Dentist	Dentist Anesthesiologist	9559	ARIZONA	Yes

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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