JEFFREY R WONG (NPI# 1073616009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073616009 |
| Entity Type | Individual |
| Full Name | JEFFREY R WONG |
| Credential | DDS |
| Practice Address |
2844 Summit St Suite 105 Oakland CA 94609-3637 |
| Practice Telephone | 5104447535 |
| Practice Fax Number | 5104447548 |
| Mailing Telephone | 5104447535 |
| Mailing Fax Number | 5104447548 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 36855 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1164790507 | Jeffrey Wong | Orthopaedic Surgery | 18785 Brookhurst St Ste 100, Fountain Valley, CA 92708-7300 | 2011-12-13 |
| 1013184498 | Jeffrey Y Wong | Dentist | 200 Brown Rd Ste 202, Fremont, CA 94539-7957 | 2008-05-14 |
| 1508933763 | Jeffrey C.m. Wong | Obstetrics & Gynecology | 4643b Waimea Canyon Dr., Waimea, HI 96796 | 2006-11-30 |
| 1720087315 | Jeffrey Alan Wong | Pharmacist | 1333 Castro St, San Francisco, CA 94114-3620 | 2005-07-18 |
| 1922619139 | Jeffrey Hu Wong | Acupuncturist | 1530 S Union Ave Ste 4, Tacoma, WA 98405-1954 | 2020-08-11 |
| 1386136331 | Jeffrey Wong | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2018-06-05 |
| 1043691181 | Jeffrey Ling-yi Wong | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2015-06-15 |
| 1518271089 | Jeffrey Wong | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2010-07-27 |
| 1578893368 | Jeffrey J Wong | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2009-12-30 |
| Street Address |
2844 SUMMIT ST SUITE 105 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490029 | Michael P Lin | Dentist | 2844 Summit St, Ste 207, Oakland, CA 94609-3637 | 2005-10-12 |
| 1285004697 | Zahid H. Ahmed D.d.s. Inc | Dentist | 2844 Summit St, Suite 206, Oakland, CA 94609-3637 | 2015-09-28 |
| 1255700555 | Action Jackson Physical Therapy, P.C. | Physical Therapist | 2844 Summit St, Suite 106, Oakland, CA 94609-3637 | 2015-09-17 |
| 1548567571 | Shane Loran Jackson | Physical Therapist | 2844 Summit St, Ste 106, Oakland, CA 94609-3641 | 2011-02-28 |
| 1528231347 | Juon-kin K. Fong, M.d., Inc | Clinic/Center | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2008-04-12 |
| 1821209271 | Barbara Yuh | Pharmacy | 2844 Summit St, Oakland, CA 94609-3637 | 2007-05-25 |
| 1811011562 | Senior Support Services, Inc. | Specialist | 2844 Summit St, 212, Oakland, CA 94609-3637 | 2007-03-19 |
| 1609927102 | Juon-kin K. Fong | Orthopaedic Surgery | 2844 Summit St, Suite 103, Oakland, CA 94609-3637 | 2007-01-13 |
| 1184789869 | Ronald Eugene Bullard | Dentist | 2844 Summit St, #205, Oakland, CA 94609-3637 | 2006-12-24 |
| 1396803367 | Justin Tuat Vo | Chiropractor | 2844 Summit St, Suite 203, Oakland, CA 94609-3637 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862166 | Tiffany L Sum | Dentist | 1411 E 31st St Bldg E2, Oakland, CA 94602-1092 | 2020-05-14 |
| 1427607910 | Karen Chong | Dentist | 3040 E 9th St Ste D, Oakland, CA 94601-2938 | 2019-09-06 |
| 1548817323 | Dr. Choi, Dmd, Inc. | Dentist | 3511 International Blvd, Oakland, CA 94601-3521 | 2019-08-26 |
| 1447818760 | Eric Daniel Deschenes | Dentist | 6200 Antioch St Ste 201, Oakland, CA 94611-2954 | 2019-06-01 |
| 1154801439 | Tao Zhou | Dentist | 125 2nd St Apt 806, Oakland, CA 94607-4568 | 2018-08-16 |
| 1568957157 | Carmen Ruth | Dentist | 14710 Tn-194, Oakland, TN 38060 | 2018-06-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1093233454 | Scott Yoo Dds Dental Corp | Dentist | 2710 Telegraph Ave Ste 250, Oakland, CA 94612-1776 | 2017-09-06 |
| 1093246795 | Said Jalil Sadri | Dentist | 5939 La Salle Ave, Oakland, CA 94611-3225 | 2017-03-23 |
| 1841651635 | Phillip Wayne Olrich | Dentist | 407 41st St, Oakland, CA 94609-2510 | 2016-03-08 |
| Find all providers in OAKLAND | ||||
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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.