DR. GARRICK FREDRICK WONG (NPI# 1700187119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700187119 |
| Entity Type | Individual |
| Full Name | DR. GARRICK FREDRICK WONG |
| Credential | D.M.D., M.M.S. |
| Practice Address |
453 E Putnam Ave Ste 2 Cos Cob CT 06807-2546 |
| Practice Telephone | 2036259888 |
| Practice Fax Number | 2036259889 |
| Mailing Telephone | 2036229197 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
007476 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851797997 | Garrick C Wong | Pharmacist | 1150 Old Country Rd, Riverhead, NY 11901-2073 | 2014-11-18 |
| Street Address |
453 E PUTNAM AVE STE 2 |
| City | COS COB |
| State | CT |
| Zip Code | 06807-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999866 | Trevor M Flouty | Home Health Aide | 532 E Putnam Ave Ste 22, Cos Cob, CT 06807 | 2019-08-28 |
| 1780805036 | Richard A Greenberg | Dentist | 211 A East Putnam Avenue, Cos Cob, CT 06807 | 2007-05-02 |
| 1841312097 | Peter Harvey Maher | Specialist | 10 Hilton Heath, Cos Cob, CT 06807 | 2007-04-06 |
| 1174643530 | Maryellen Pachler Pachler Kennell | Nurse Practitioner | 399 East Putnam Ave., 2nd Floor Suite #1, Cos Cob, CT 06807 | 2007-03-30 |
| 1730249293 | Mary M Lennon | Counselor | 126 East Putnam Ave, 2nd Fl W, Cos Cob, CT 06807 | 2006-12-12 |
| 1508952375 | Michael John Mack | Dentist | 40 E. Putnam Ave., Cos Cob, CT 06807 | 2006-10-05 |
| 1366558454 | Kevin Allan Root | Counselor | 132 East Putnam Ave, Cos Cob, CT 06807 | 2006-08-22 |
| 1538666573 | Sean Sutton | Dentist | 391 E Putnam Ave, Cos Cob, CT 06807 | 2018-04-06 |
| 1306043062 | Jill V. Tesei | Counselor | 399 East Putnam Ave., 2nd Floor Suite 1, Cos Cob, CT 06807 | 2007-06-27 |
| 1902972649 | Tangley Canpbell Lloyd | Social Worker | 132 E Putnam Ave, Cos Cob, CT 06807 | 2006-11-27 |
| Find all providers in zip 06807 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894831 | Chia-hua Pai | Dentist | 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 | 2020-09-04 |
| 1699307819 | Michael Fogge | Dentist | 1527 Route 12 Ste 2, Gales Ferry, CT 06335-1800 | 2020-02-05 |
| 1033752613 | Gregory Augustus Mckenna | Dentist | 131 Deer Hill Ave, Danbury, CT 06810-7783 | 2019-10-25 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1568978476 | Modern Orthodontics LLC | Dentist | 1095 West St Ste 2, Southington, CT 06489-1023 | 2017-12-15 |
| 1568991636 | Bibko Orthodontics LLC | Dentist | 346 Main Ave Ste D, Norwalk, CT 06851-1591 | 2017-06-12 |
| 1114467164 | Consolidated Orthodontic Services, LLC | Dentist | 3 Silver Brook Ln, Torrington, CT 06790-7814 | 2017-02-23 |
| 1922544543 | Raptis Orthodontics | Dentist | 670 East Rd, Bristol, CT 06010-6845 | 2017-01-07 |
| 1538604178 | Donald C Demas, Dds, Ms, PC | Dentist | 51 Depot St Ste 505, Watertown, CT 06795-2685 | 2017-01-05 |
| 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.