KENNETH C K WONG


Address: 6514 Lonetree Blvd, Rocklin, CA 95765
Phone: 9167972700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
47824 CA Dental Providers

Other Providers KENNETH WONG

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

Office Location

Street Address 6514 LONETREE BLVD
City ROCKLIN
State CA
Zip Code 95765

Providers in the same zip code

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 Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City ROCKLIN
Zip Code 95765

Improve Information

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Dataset Information

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.

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