DR. JERRY YEE WONG (NPI# 1881734846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881734846 |
| Entity Type | Individual |
| Full Name | DR. JERRY YEE WONG |
| Credential | D.D.S. |
| Practice Address |
5631 Telephone Rd Suite A Houston TX 77087-4485 |
| Practice Telephone | 7136444446 |
| Practice Fax Number | 7136443338 |
| Mailing Telephone | 7136444446 |
| Mailing Fax Number | 7136443338 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20608 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1738510-06 | 05 | |
| TX | 1738510-02 | 05 | |
| TX | 1738510-04 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334642 | Jerry Steven Wong | Pharmacist | 1107 Gables Dr, Birmingham, AL 35244-2852 | 2007-05-10 |
| 1285935585 | Jerry Thwin Wong | Pathology | 1500 East Duarte Road, Duarte, CA 91010 | 2010-11-03 |
| Street Address |
5631 TELEPHONE RD SUITE A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77087-4485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952468308 | Ace Pharmacy Inc | Pharmacy | 5631 Telephone Rd, Ste C, Houston, TX 77087 | 2007-01-03 |
| 1114478427 | Shah Dental | Dentist | 5631 Telephone Rd, #a, Houston, TX 77087-4485 | 2016-10-21 |
| 1912180498 | Ameridental Associates | Dentist | 5631 Telephone Rd, Suite A, Houston, TX 77087-4485 | 2007-12-07 |
| 1164636353 | Jaime Obed Estrada | Physician Assistant | 5631 Telephone Rd, Ste. B, Houston, TX 77087-4485 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350918 | Kirtan Patel | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, Bryan, TX 77087 | 2020-03-12 |
| 1902431232 | Jakelyn Esmeralda Alfaro | Family Medicine | 3420 Woodrridge Dr., Houston, TN 77087 | 2020-03-06 |
| 1518509827 | Paul Torres | Technician | 7002 Hemlock Apt. #1, Houston, TX 77087 | 2019-10-09 |
| 1841849254 | Shirley M Stredic | Technician | 6631 Reed Rd., Houston, TX 77087 | 2019-09-09 |
| 1376046342 | Priscilla Marie Williams | Personal Emergency Response Attendant | Mtss-priscilla: 5921 Northdale Rd Houtx 77087, Houston, TX 77087 | 2018-03-15 |
| 1639688187 | Ebony Iheanacho | Case Manager/Care Coordinator | 7011 Village Way #410, Houston, TX 77087 | 2017-09-27 |
| 1316300908 | Journey Through Life Tx LLC | Counselor | 7151 Office City Dr, Houston, TX 77087 | 2016-03-31 |
| 1528427531 | Katherine Winlin Tsai | Pharmacist | 3111 Woodridge, Ste. 500, Houston, TX 77087 | 2016-02-18 |
| 1134517428 | Gulfgate Kidney Center, LLC | Clinic/Center | 2916 Woodridge Dr, Houston, TX 77087 | 2015-01-08 |
| 1639577372 | Mann Eye2 20/20 Express | Optometrist | 2903 Woodbridge, Suite1290, Houston, TX 77087 | 2014-12-11 |
| Find all providers in zip 77087 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1568069094 | Vintage Smile Family Dentistry | Dentist | 10300 Louetta Rd, Houston, TX 77070-2121 | 2020-10-07 |
| 1093322836 | Lan Hoang Dao | Dentist | 6711 Mission Bell Dr, Houston, TX 77083-2524 | 2020-09-25 |
| 1871107714 | Nbnl Dental Pllc | Dentist | 4400 North Fwy Spc C300, Houston, TX 77022-3649 | 2020-09-08 |
| 1780293613 | Namrata Rathod | Dentist | 1255 Eldridge Pkwy Apt 126, Houston, TX 77077-2161 | 2020-07-27 |
| 1104434752 | Pavana Kulathanal Chakrapani | Dentist | 1072 Federal Rd, Houston, TX 77015-4804 | 2020-07-20 |
| 1821606039 | Po-lin Yang | Dentist | 4500 Washington Ave Ste 700, Houston, TX 77007-5478 | 2020-07-14 |
| 1053939637 | Anusha Joseph | Dentist | 306 Woodcombe Dr, Houston, TX 77062-2540 | 2020-07-09 |
| 1508482860 | Garcia- Alcover Dental Pllc | Dentist | 6720 Chimney Rock Rd Ste S, Houston, TX 77081-5640 | 2020-06-23 |
| 1205452893 | Linh Ngoc Pham | Dentist | 9207 Meadow Branch Ct, Houston, TX 77095-2753 | 2020-06-19 |
| Find all providers in HOUSTON | ||||
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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.