DR. ALLAN WUN (NPI# 1053750893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053750893 |
| Entity Type | Individual |
| Full Name | DR. ALLAN WUN |
| Credential | D.M.D. |
| Practice Address |
1 Kneeland St. 5th Floor/ Dhs 503 Boston MA 02111 |
| Mailing Address |
10193 W. Wesley Pl Lakewood CO 80227 |
| Practice Telephone | 3038856024 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1856291 | MA | Dental Providers |
| Street Address |
1 KNEELAND ST. 5TH FLOOR/ DHS 503 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273478 | Shaden Kayal | Student in an Organized Health Care Education/Training Program | 1 Kneeland St., 8th Floor, Boston, MA 02111 | 2019-06-10 |
| 1194190991 | Marta Alvarez-novoa | Dentist | 1 Kneeland St., Boston, MA 02111 | 2015-12-04 |
| 1710385653 | Mariam Margvelashvili | Dentist | 1 Kneeland St., Tufts University School of Dental Medicine, Boston, MA 02111 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
| 1609189018 | Stavros Oikonomou | Dentist | 660 Washington St Apt 25g, Boston, MA 02111-3243 | 2010-07-15 |
| 1073825352 | Cristobal Alberto Quevedo | Dentist | 761 Harrison Ave Apt 205, Boston, MA 02118-2362 | 2010-07-02 |
| 1740591080 | Ahmad Ali Alshadwi | Dentist | 850 Harrison Ave Fl Acc5, Boston Medical Center Oral Surgery Department, Boston, MA 02118-4001 | 2010-07-01 |
| 1437390481 | Behzad Mostoufi | Dentist | 820 Harrison Ave # Acc5, Boston, MA 02118-2905 | 2009-03-19 |
| 1396991089 | Jennifer E. Smith-williams, D.m.d. | Dentist | 575 Boylston St Fl 5, Boston, MA 02116-3607 | 2008-08-13 |
| 1497923791 | Mario S Lucca | Dentist | 185 Dartmouth St Ste 403, Boston, MA 02116-5883 | 2008-02-20 |
| 1225228422 | Steven John Scrivani | Dentist | One Kneeland Street, Suite 601, Boston, MA 02111 | 2007-07-25 |
| 1215138672 | Constantinos Laskarides | Dentist | 1 Kneeland St Rm 503, Boston, MA 02111-1527 | 2007-05-31 |
| 1780722017 | Patrick Kiu Tao Chan | Dentist | 136 Lincoln St, Boston, MA 02111-2506 | 2007-02-01 |
| Find all providers in BOSTON | ||||
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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.