CHUNG KWANG RAYMOND WONG


Address: 6920 Parkdale Pl, Suite 217, Indianapolis, IN 46254-5612
Phone: 3173286708

CHUNG KWANG RAYMOND WONG (NPI# 1316048689) 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) 1316048689
Entity Type Individual
Full Name CHUNG KWANG RAYMOND WONG
Credential D.D.S., M.S.D.
Practice Address 6920 Parkdale Pl
Suite 217
Indianapolis
IN 46254-5612
Practice Telephone 3173286708
Practice Fax Number 3173286888
Mailing Telephone 3173286708
Mailing Fax Number 3173286888
Enumeration Date 2006-09-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
12009381 IN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 12009381A 05

Office Location

Street Address 6920 PARKDALE PL
SUITE 217
City INDIANAPOLIS
State IN
Zip Code 46254-5612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174526917 Robert Edward Mccallister Dermatology 6920 Parkdale Pl, Ste 210, Indianapolis, IN 46254-5611 2005-05-24
1932544533 Robert Michael Schrock Nurse Practitioner 6920 Parkdale Pl, Ste 106, Indianapolis, IN 46254-5612 2013-05-08
1639358641 M. D. Healthcare, LLC Family Medicine 6920 Parkdale Pl, Suite 208, Indianapolis, IN 46254-5612 2007-10-25
1487787354 Step By Step Pediatrics, LLC Pediatrics 6920 Parkdale Pl, Suite 109, Indianapolis, IN 46254-5612 2007-03-13
1144310244 Josue J Villalta Obstetrics & Gynecology 6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 2006-10-13
1487741377 Westside Gynecology, Inc. Obstetrics & Gynecology 6920 Parkdale Pl, Suite 100, Indianapolis, IN 46254-5612 2006-10-10
1245271691 Daniel W Voegele Family Medicine 6920 Parkdale Pl, Ste 106, Indianapolis, IN 46254-5604 2006-06-09
1366489734 Anne J Stump Pediatrics 6920 Parkdale Pl, Ste 109, Indianapolis, IN 46254-9998 2006-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427673052 Sanders Empowerment Services LLC Social Worker 5026 Clarkson Drive, Indianapolis, IN 46254 2020-06-09
1316587660 Yulisa Carrera-ochoa Behavior Technician 6925 Parkdale Place, Indianapolis, IN 46254 2020-01-14
1396230140 Emeri Taivalkoski Registered Nurse Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 2018-06-25
1811499759 Sara Peterson Speech-Language Pathologist 4102 Shore Drive, Indianapolis, IN 46254 2018-03-07
1427560002 Swan Garden Home Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4906 Quail Ridge Ln, Indianapolis, IN 46254 2017-11-03
1477083475 Sherry Mason Counselor 5959 Staffordshire Cir, Indianapolis, IN 46254 2017-06-13
1790111680 The Health and Hospital Corporation of Marion County Pharmacy 5515 W 38th St Ste 1200, Indianapolis, IN 46254 2013-09-24
1790051563 Theracare Skilled Nursing Facility 5356 Holly Springs Ct, Indianapolis, IN 46254 2012-03-27
1750659827 Apollon Counselor 5362 Deer Creek Drive, Indianapolis, IN 46254 2011-12-05
1235413253 Irene Williams Pharmacist 6269 W. 38th St, Indianapolis, IN 46254 2011-10-10
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770194698 Dental Professionals of In, P.C. Dentist 8570 Northwest Blvd, Indianapolis, IN 46278-1383 2020-08-13
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1932766508 Brooke Nichole Scott Dentist 5501 E 71st St Ste 3, Indianapolis, IN 46220-3900 2019-05-20
1851875546 Andrew David Power Dentist 5869 Lawton Loop East Drive, Indianapolis, IN 46216 2018-09-19
1639652126 Gh Dental Dentist 6925 S Harding St Ste A, Indianapolis, IN 46217-4114 2018-09-11
1326533068 Bryce Ashton Chambers Dentist 6010 W 86th St Ste 118, Indianapolis, IN 46278-1407 2018-06-26
1932694528 Mfdc of Indiana, Inc Dentist 6225 W 56th St Ste 100, Indianapolis, IN 46254-0002 2018-06-26
1306331905 Mfdc of Indiana, Inc Dentist 5935 S Emerson Ave Ste 200, Indianapolis, IN 46237-1975 2018-06-26
1376037853 Decatur Family Dentistry LLC Dentist 5021 Kentucky Ave Ste G, Indianapolis, IN 46221-3650 2018-06-19
1215420252 Wesley Kenn Burcham Dentist 1481 W 10th St # 160, Indianapolis, IN 46202 2018-06-13
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46254

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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