WOW DENTAL FOR KIDS INC (NPI# 1922455542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922455542 |
| Entity Type | Organization |
| Organization Name | WOW DENTAL FOR KIDS INC |
| Practice Address |
1077 Lexington St Waltham MA 02452-7233 |
| Practice Telephone | 7818990014 |
| Mailing Telephone | 7818990014 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | CHUN YU YOGI CHEN (OWNER) |
| Authorized Official Telephone | 5089048670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
MA18640 | MA | Dental Providers |
| Street Address |
1077 LEXINGTON ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289783 | Ting Ting Yin | Acupuncturist | 1077 Lexington St, Waltham, MA 02452-7233 | 2019-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| 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 |
|---|---|---|---|---|
| 1659701563 | Carolyn Ferrick | Dentist | 200 5th Ave, Waltham, MA 02451-8779 | 2013-11-14 |
| 1154566495 | E Elon Joffre | Dentist | 980 Main St, Waltham, MA 02451-7404 | 2008-12-15 |
| 1942349360 | Negaar Sagafi | Dentist | 411 Waverley Oaks Rd, Bldg #3, Suite 318, Waltham, MA 02452 | 2007-02-05 |
| 1437222486 | Khai Lim | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-11-16 |
| 1467548347 | Natalia Hoffman | Dentist | 875 Main St, Waltham, MA 02451-7414 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352787 | New Bedford Dentistry and Braces PC | Dentist | 81 Coggeshall St Ste B, New Bedford, MA 02746-5448 | 2020-09-29 |
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1881200822 | East Milton Orthodontics, PC | Dentist | 25 Bryant Ave, Milton, MA 02186-5429 | 2020-09-16 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
| 1891331468 | University Dental of Webster Pllc | Dentist | 6 Slater St, Webster, MA 01570-2350 | 2019-11-19 |
| 1538700539 | Cecilia Mercedes Deller | Dentist | 28 Randolph St, Weymouth, MA 02190-1506 | 2019-10-01 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1942858063 | Epic Family Dentistry Pllc | Dentist | 315 Norwood Park S Ste 100, Norwood, MA 02062-4681 | 2019-09-02 |
| 1366090896 | Andrew Fraser | Dentist | 1121 Main St Ste 1, South Weymouth, MA 02190-1567 | 2019-08-28 |
| 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.