RICHARD KE MING WANG DMD MD NPI 1053489088

NPI Information

NPI: 1053489088
Provider Name: RICHARD KE MING WANG, DMD MD
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 101 S WHITING ST
SUITE 106
ALEXANDRIA, VA
ZIP 22304
Phone: (703) 751-7841

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NPI Details

Richard Ke Ming Wang, DMD MD is an oral and maxillofacial surgery dentist in Alexandria, VA. The provider is an oral and maxillofacial surgery dentist specialized in 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. Richard Ke Ming Wang, DMD MD NPI is 1053489088. 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:

101 S WHITING ST
SUITE 106
ALEXANDRIA, VA
ZIP 22304-418
Phone: (703) 751-7841
Fax: (703) 751-7858

The NPI 1053489088 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).

The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/5/2007.

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		OMS49	CALIFORNIA	No
2	122300000X	Dentist		DS030776L	PENNSYLVANIA	No
3	204E00000X	Oral & Maxillofacial Surgery		OMS49	CALIFORNIA	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	0401411829	VIRGINIA	No
5	1223S0112X	Dentist	Oral and Maxillofacial Surgery	0438000234	VIRGINIA	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: 11/21/2025

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