TIM WANG DDS, INC (NPI# 1639345879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639345879 |
| Entity Type | Organization |
| Organization Name | TIM WANG DDS, INC |
| Other Organization Name | COLUMBIA DENTAL CARE |
| Practice Address |
46921 Warm Springs Blvd Ste 203 Fremont CA 94539-7934 |
| Practice Telephone | 5107927888 |
| Mailing Telephone | 5107927888 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | TIM TING- CHUN WANG (OWNER) |
| Authorized Official Telephone | 5107927888 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
48405 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Columbia Dental Care | Doing Business As Name - Organization |
| Street Address |
46921 WARM SPRINGS BLVD STE 203 |
| City | FREMONT |
| State | CA |
| Zip Code | 94539-7934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073553 | Anna Maria Lukasik | Physical Therapist | 863 Ridgevie Terrace, Fremont, CA 94539 | 2020-01-28 |
| 1295264653 | Trevor Glenn Addison | Emergency Medicine | 1620 Pajaro Ct., Fremont, CA 94539 | 2017-06-08 |
| 1194261941 | Jianying Liang | Acupuncturist | 46292 Warm Springs Blvd Unit 638, Fremont, CA 94539 | 2017-01-17 |
| 1447604525 | Infusion Express of California Inc | Clinic/Center | 43360 Mission Blvd, Suite 100, Fremont, CA 94539 | 2016-04-14 |
| 1932586989 | Kathren J Michela | Specialist/Technologist, Other | 47063 Benns Terr, Fremont, CA 94539 | 2015-04-29 |
| 1518367846 | Golder Stone International, Inc | Clinic/Center | 46249 Warm Springs Blve Suite 1, Fremont, CA 94539 | 2014-08-22 |
| 1619397858 | Yuan Si | Acupuncturist | 43433 Mission Blvd, Suite 102, Fremont, CA 94539 | 2014-04-25 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1053674614 | Nishi Shahi | Pharmacist | 1934 Vinehill Circle, Fremont, CA 94539 | 2012-06-19 |
| Find all providers in zip 94539 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457849960 | Dental White Management LLC | Clinic/Center | 43625 Mission Blvd Ste 105, Fremont, CA 94539-5800 | 2018-04-30 |
| 1720517626 | Mital Patel Dds Inc | Clinic/Center | 787 Boar Cir, Fremont, CA 94539-6046 | 2017-06-06 |
| 1902272529 | Moninder Kaur D.d.s | Clinic/Center | 2211 Parkside Dr Ste D, Fremont, CA 94536-5388 | 2015-08-18 |
| 1265850424 | Shuen Family Dental Group, Inc. | Clinic/Center | 39812 Mission Blvd Ste 109, Fremont, CA 94539-3088 | 2014-04-03 |
| 1205005436 | M.s. Tancio, D.m.d. A Professional Dental Corporation | Clinic/Center | 39370 Civic Center Dr, Suite D, Fremont, CA 94538-6716 | 2008-02-21 |
| 1033718838 | Gurman Dental Inc | Clinic/Center | 3456 Mowry Ave, Fremont, CA 94538-1422 | 2020-10-22 |
| 1124672027 | Aparna Borole Dds, Inc. | Clinic/Center | 39572 Stevenson Pl Ste 227, Fremont, CA 94539-3113 | 2019-07-29 |
| 1326606476 | Andrea Salazar Dinh, D.d.s., Inc. | Clinic/Center | 2111 Parkside Dr Ste C, Fremont, CA 94536-5209 | 2019-06-04 |
| 1710441092 | Edwin Chicchon Dds Inc | Clinic/Center | 3200 Mowry Ave Ste D, Fremont, CA 94538-1510 | 2019-01-30 |
| 1609346873 | Sheila Dobee Dds Incorportated | Clinic/Center | 4541 Mattos Dr, Fremont, CA 94536-6736 | 2018-11-30 |
| Find all providers in FREMONT | ||||
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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.