CHLOE A WONG DMD NPI 1710486865

NPI Information

NPI: 1710486865
Provider Name: CHLOE A WONG, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
651 S LIMESTONE ST
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-7262
Get Directions

Chloe A Wong, DMD is a pediatric dentistry dentist in Springfield, OH. 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. Chloe A Wong, DMD NPI is 1710486865. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

651 S LIMESTONE ST
SPRINGFIELD, OH
ZIP 45505-965
Phone: (937) 328-7262
Fax: (937) 525-4542

The NPI 1710486865 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 2/5/2018 and was last updated on 11/22/2022.

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		30.025690	OHIO	No
2	1223G0001X	Dentist	General Practice	30.025690	OHIO	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	30.025690	OHIO	No
4	1223P0221X	Dentist	Pediatric Dentistry	30.025690	OHIO	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	0341833	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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