DR. WALLACE WAYNE WONG (NPI# 1467574335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467574335 |
| Entity Type | Individual |
| Full Name | DR. WALLACE WAYNE WONG |
| Credential | DDS |
| Practice Address |
914 140th Ave Ne Suite 102 Bellevue WA 98005-3482 |
| Mailing Address |
914 140th Avenue Ne Suite 102 Bellevue WA 98005 |
| Practice Telephone | 4257467126 |
| Practice Fax Number | 4254018830 |
| Mailing Telephone | 4257467126 |
| Mailing Fax Number | 4254018830 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00008692 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730202250 | Wallace Wai Cheong Wong | Psychologist | 2948 Laning Rd, San Diego, CA 92106-6434 | 2007-04-09 |
| Street Address |
914 140TH AVE NE SUITE 102 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003841347 | Alicia K Wong | Dentist | 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 | 2006-07-12 |
| 1417300062 | Wallace W. Wong Dds | Dentist | 914 140th Ave Ne, Suite 102, Bellevue, WA 98005-3482 | 2016-07-19 |
| 1689914194 | Alicia K. Wong, Dmd, Mph, Pllc | Dentist | 914 140th Ave Ne, Suite 101, Bellevue, WA 98005-3482 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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 |
|---|---|---|---|---|
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1144718453 | Soper Smile Company Pllc | Dentist | 14575 Ne Bel Red Rd Ste 200, Bellevue, WA 98007-3908 | 2018-04-23 |
| 1215485792 | Leone and Vaughn Orthodontics | Dentist | 600 108th Ave Ne Ste 120, Bellevue, WA 98004-5110 | 2016-09-14 |
| 1811359094 | William Page Brown | Dentist | 4100 Factoria Blvd Se Ste A, Bellevue, WA 98006-1262 | 2016-03-25 |
| 1144641051 | Megha Anand | Dentist | 788 110th Ave Ne, N602, Bellevue, WA 98004-8312 | 2013-12-18 |
| 1154579548 | Dona M. Seely | Dentist | 1248 112th Ave Ne, Bellevue, WA 98004 | 2008-08-28 |
| 1902060445 | Jacqueline Bunce | Dentist | 12600 Se 38th St Ste 225, Bellevue, WA 98006-5232 | 2008-07-14 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1124223540 | Wisanu Charoenkul | Dentist | 14810 Lake Hills Blvd, Bellevue, WA 98007-5821 | 2007-06-16 |
| 1467674382 | Jeffrey Allen Schur | Dentist | 14635 Bel-red Rd, Ste E101, Bellevue, WA 98007-3932 | 2007-05-02 |
| Find all providers in BELLEVUE | ||||
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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.