KENNETH C K WONG (NPI# 1104995307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104995307 |
Entity Type | Individual |
Full Name | KENNETH C K WONG |
Credential | DDS |
Practice Address |
6514 Lonetree Blvd Rocklin CA 95765 |
Practice Telephone | 9167972700 |
Practice Fax Number | 9167970700 |
Mailing Telephone | 9167972700 |
Mailing Fax Number | 9167970700 |
Enumeration Date | 2006-11-06 |
Last Update Date | 2007-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
47824 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992153977 | Kenneth Wong | Physician Assistant | 622 W 168th St # Vc-260, New York, NY 10032-3720 | 2016-05-31 |
1669826285 | Kenneth Richard Wong | Emergency Medicine | 525 East 68th Street, Mailbox 301, Ny Presbyterian Cornell- Emergency Medicine Residency, New York City, NY 10021 | 2016-04-20 |
1497988232 | Kenneth D Wong | Dentist | 13197 Central Ave Ste 103, Chino, CA 91710-4178 | 2009-08-27 |
1073775433 | Kenneth Wong | Otolaryngology | 6201 Greenbelt Rd Ste M11, Berwyn Heights, MD 20740-2333 | 2008-06-26 |
1033391925 | Kenneth L Wong | Pharmacist | 221 Westwood Plaza Room 222, Los Angeles, CA 90095-0001 | 2007-12-03 |
1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
1235198854 | Kenneth Kang Wa Wong | Optometrist | 27118 Gratiot Ave, Roseville, MI 48066-2915 | 2006-03-22 |
1417949652 | Kenneth Wong | Family Medicine | 2444 Pine St, Bakersfield, CA 93301-2742 | 2005-08-15 |
1215935986 | Kenneth Edward Wong | Internal Medicine | 102 Twin Oaks Dr, Raceland, LA 70394-2760 | 2005-07-07 |
1033680285 | Kenneth Wong | Pharmacist | 3160 N Rainbow Blvd, Las Vegas, NV 89108-4533 | 2018-12-16 |
Street Address |
6514 LONETREE BLVD |
City | ROCKLIN |
State | CA |
Zip Code | 95765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
Find all providers in zip 95765 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes 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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
1588221279 | David Sun Dds Inc | Dentist | 10 E Huntington Dr Ste D, Arcadia, CA 91006-3249 | 2019-05-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.