DR. GLENN K G WONG (NPI# 1679596928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679596928 |
| Entity Type | Individual |
| Full Name | DR. GLENN K G WONG |
| Credential | DDS |
| Practice Address |
94-801 Farrington Hwy Rm 208 Waipahu HI 96797-3164 |
| Practice Telephone | 8086717272 |
| Practice Fax Number | 8086774625 |
| Mailing Telephone | 8086717272 |
| Mailing Fax Number | 8086774625 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 802 | HI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235203068 | Glenn Gee Wong | Chiropractor | 8265 Village Pkwy Ste C, Dublin, CA 94568-1254 | 2006-11-20 |
| 1063537934 | Glenn Wong | Internal Medicine | 2850 Commercial Xing, Santa Cruz, CA 95065-1702 | 2007-03-20 |
| Street Address |
94-801 FARRINGTON HWY RM 208 |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720615 | P.t. Hawaii, Inc | Physical Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2006-05-24 |
| 1427663442 | Quawana S Charlton | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2020-09-15 |
| 1164915104 | James Antonio Hall | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2018-06-13 |
| 1396257960 | Rochelle Maile Russel | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2017-11-03 |
| 1326565037 | Cindy C Dagulo | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2017-08-23 |
| 1538618111 | Ruby Anna Raymundo Bulaoat | Physical Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2016-09-23 |
| 1164877247 | Janel Aton | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2016-04-26 |
| 1063883866 | Jessica Marie Teves | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2015-10-19 |
| 1154734895 | Samantha Krystal Tanjoco | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2014-06-10 |
| 1942613500 | Clarice Bush | Massage Therapist | 94-801 Farrington Hwy, Waipahu, HI 96797-3164 | 2014-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538641337 | Dumbrique Dental Clinic | Dentist | 94-366 Pupupani St Ste 205, Waipahu, HI 96797-2644 | 2018-08-29 |
| 1578099776 | Waipahu Dentists LLC | Dentist | 94-050 Farrington Hwy # E1, Waipahu, HI 96797-1841 | 2017-05-08 |
| 1356480412 | Mark Dwight Sakurai | Dentist | 94 239 Waipahu Depot 87, Suite #212, Waipahu, HI 96797-2036 | 2007-02-05 |
| 1265580690 | Alvin Y Kurio | Dentist | 94-235 Hanawai Cir Ste 1, Waipahu, HI 96797-3029 | 2007-01-08 |
| 1861568396 | Amy A Ogawa | Dentist | 94 801 Farrington Hwy, Ste 202, Waipahu, HI 96797 | 2006-11-27 |
| 1336221977 | Elaine Alfaro Mesinas | Dentist | 94-748 D Hikimoe Street, Waipahu, HI 96797 | 2006-10-20 |
| 1255348165 | Terri J.y.h. Andrade | Dentist | 94-239 Waipahu Depot St Ste 208, Waipahu, HI 96797-3056 | 2006-08-02 |
| 1710920574 | Celia Alonzo Dumbrique | Dentist | 94-366 Pupupani St, Suite 205, Waipahu, HI 96797-2650 | 2006-06-13 |
| 1376958181 | Howard Teruo Fujino | Dentist | 94-873 Farrington Hwy, Waipahu, HI 96797 | 2014-07-01 |
| 1578906202 | Ryan O.y. Dung, D.d.s., Inc. | Dentist | 94-229 Waipahu Depot St, Ste 303, Waipahu, HI 96797-3031 | 2013-04-11 |
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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.