LOLO WONG D.D.S. NPI 1073506960

NPI Information

  • NPI: 1073506960
  • Provider Name: LOLO WONG, D.D.S.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3302 GASTON AVE
    TEXAS A&M/BAYLOR COLLEGE OF DENTISTRY
    DALLAS, TX
    ZIP 75246
  • Phone: (214) 828-8456

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NPI Details

Lolo Wong, D.D.S. is a pediatric dentistry dentist in Dallas, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Lolo Wong, D.D.S. NPI is 1073506960. 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:

3302 GASTON AVE
TEXAS A&M/BAYLOR COLLEGE OF DENTISTRY
DALLAS, TX
ZIP 75246-013
Phone: (214) 828-8456

The NPI 1073506960 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 8/25/2005 and was last updated on 1/30/2025.

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
11223P0221XDentistPediatric Dentistry26344TEXASYes

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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