DR. EVERETT SOONKEN ONG DDS NPI 1366503997

NPI Information

  • NPI: 1366503997
  • Provider Name: DR. EVERETT SOONKEN ONG, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 27TH SPECIAL OPERATIONS MEDICAL GROUP
    224 W D.L.INGRAM AVE., BLDG 1408
    CLOVIS, NM
    ZIP 88103
  • Phone: (575) 904-3948

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NPI Details

DR. Everett Soonken Ong, DDS is a general practice dentist in Clovis, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Everett Soonken Ong, DDS NPI is 1366503997. 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:

27TH SPECIAL OPERATIONS MEDICAL GROUP
224 W D.L.INGRAM AVE., BLDG 1408
CLOVIS, NM
ZIP 88103-495
Phone: (575) 904-3948

The enumeration date for this NPI number is 12/13/2006 and was last updated on 10/2/2024.

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
11223G0001XDentistGeneral Practice40869CALIFORNIAYes

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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