DR. DAVID WONG (NPI# 1871948778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871948778 |
| Entity Type | Individual |
| Full Name | DR. DAVID WONG |
| Practice Address |
3624 Shannon Rd Ste 106 Durham NC 27707-3772 |
| Mailing Address |
100 Glengary Ct Apt 106 Durham NC 27707-5942 |
| Practice Telephone | 9194014827 |
| Mailing Telephone | 8189394828 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
11605 | NC | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 E 17th Pl, Aurora, CO 800452570 | 3037247879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780237875 | David Zoek Hou Wong | Student in an Organized Health Care Education/Training Program | 323 S Marguerita Ave, Alhambra, CA 91803-1730 | 2019-07-18 |
| 1407362528 | David Tai Wai Wong | Pharmacist | 610 Wessex Way Apt 3, Belmont, CA 94002-2736 | 2017-12-27 |
| 1376060178 | David Wong | Chiropractor | 855 Main St Ste 205, Pleasanton, CA 94566-6650 | 2017-08-23 |
| 1437579109 | David Yick Leung Wong | Specialist/Technologist | 7822 Deer Meadow Dr, Sacramento, CA 95823-4414 | 2014-04-22 |
| 1184829558 | David Kin Ming Wong | Surgery | 550 Beretania St. Ste 505, Hawaii Vascular and Endovascular, Inc, Honolulu, HI 96813 | 2007-06-18 |
| 1689759193 | David O Wong | Dentist | 2041 Polk St Ste B, San Francisco, CA 94109-2549 | 2006-10-25 |
| 1871557413 | David Anthony Wong | Pharmacist | 9005 Chartres Lane, Bakersfield, CA 93311 | 2006-04-12 |
| 1922089325 | David Wong | Dentist | 5805 State Bridge Rd, Suite L, Duluth, GA 30097-8220 | 2005-11-11 |
| 1366423857 | David C Wong | Emergency Medicine | 6565 Fannin St # M-196, Emergency Dept, Houston, TX 77030-2703 | 2005-11-10 |
| 1871584227 | David W H Wong | Radiology | 5832 Saint Andrews Dr, Stockton, CA 95219-1930 | 2005-11-03 |
| Street Address |
3624 SHANNON RD STE 106 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710154380 | Randall Scott Hiltner | Dentist | 3325 Chapel Hill Blvd, Suite 301, Durham, NC 27707-6235 | 2008-05-13 |
| 1497883052 | Linda Gibson Levin | Dentist | 3624 Shannon Rd, Suite 106, Durham, NC 27707-3772 | 2007-03-02 |
| 1902982341 | Deborah Ann Conner | Dentist | 922 Broad St, Ste B, Durham, NC 27705-4147 | 2006-10-28 |
| 1033299060 | Roger Alexander Mcdougal | Dentist | 5826 Fayetteville Rd, Suite #209, Durham, NC 27713-8684 | 2006-10-16 |
| 1245893643 | Sarah Saad Hussain | Dentist | 2700 S Miami Blvd, Durham, NC 27703-9416 | 2019-04-21 |
| 1588842108 | Deborah Ann Conner Dds Pllc | Dentist | 922 Broad St, Durham, NC 27705-4147 | 2008-02-06 |
| 1427159771 | James M Nelson | Dentist | 3325 Durham Chapel Hill Blvd, Ste 301, Durham, NC 27707 | 2006-09-26 |
| 1861590416 | Hong Chen | Dentist | 5318 Nc Highway 55, Suite 201, Durham, NC 27713-9659 | 2006-09-20 |
| 1336257674 | Irwin Joel Leeb | Dentist | 3719 University Dr, Ste B, Durham, NC 27707 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790256782 | Riccobene Associates Xxvii, Dds, P.a. | Dentist | 4400 Falls of Neuse Rd Ste 202, Raleigh, NC 27609-2507 | 2018-12-17 |
| 1912482704 | Glen Ajith Karunanayake | Dentist | Koury Oral Sciences 5th Floor Suite 5417a, Chapel Hill, NC 27599-0001 | 2018-09-27 |
| 1255818944 | Queen City Endodontics | Dentist | 5232 Albemarle Rd Ste C, Charlotte, NC 28212-3644 | 2018-07-25 |
| 1952891921 | Evan Novick Dmd Pa | Dentist | 3535 Randolph Rd Ste 101, Charlotte, NC 28211-1067 | 2018-05-15 |
| 1497266092 | Kerolos Ragaey Helmy Elsayed | Dentist | 2028 Litho Pl, Fayetteville, NC 28304-2537 | 2017-10-23 |
| 1528577780 | Peak Endodontics | Dentist | 1600 Olive Chapel Rd Ste 100, Apex, NC 27502-6765 | 2017-09-20 |
| 1689120438 | Travis Moore | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2016-08-31 |
| 1972059244 | Steven Campbell, Pllc | Dentist | 1400 Crescent Green Dr., Suite #200, Cary, NC 27518-8118 | 2016-08-28 |
| 1366995169 | Michael Mittelsteadt | Dentist | 1098 First Dental Building, Unc Department of Endodontics, Chapel Hill, NC 27599-7450 | 2016-07-27 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 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.