DR. ANDREW C WONG (NPI# 1508099938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508099938 |
| Entity Type | Individual |
| Full Name | DR. ANDREW C WONG |
| Credential | DMD, MS |
| Practice Address |
3900 Newpark Mall Road Suite 204 Newark CA 94560-5241 |
| Practice Telephone | 5107961793 |
| Mailing Telephone | 5107961793 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| 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 |
37038 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710366232 | Andrew Wong | Internal Medicine | 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 | 2015-05-29 |
| 1043605132 | Andrew K Wong | Podiatrist | 831 56th St Fl 1, Brooklyn, NY 11220 | 2015-04-06 |
| 1619314796 | Andrew Wong | Family Medicine | 1929 W Fillmore St, Phoenix, AZ 85009-3812 | 2013-05-29 |
| 1407172521 | Andrew Wae Wong | Psychiatry & Neurology | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230 | 2010-04-14 |
| 1639213150 | Andrew Leung-doon Wong | Internal Medicine | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2007-02-17 |
| 1851319834 | Andrew C Wong | General Practice | 259 Meridian Ave Ste 15, San Jose, CA 95126-2905 | 2006-07-17 |
| 1578543963 | Andrew Ki Wong | Internal Medicine | 3443 Villa Lane, Suite 2, Napa, CA 94558-6417 | 2006-01-20 |
| 1336756048 | Andrew Wong | Behavior Technician | 3745 Long Beach Blvd, Long Beach, CA 90807-3340 | 2020-09-26 |
| 1659981751 | Andrew Wong | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-04 |
| 1922662105 | Andrew Wong | Physician Assistant | 800 Stanton L Young Blvd Ste 8400, Oklahoma City, OK 73104-5018 | 2019-04-23 |
| Street Address |
3900 NEWPARK MALL ROAD SUITE 204 |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| 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 |
|---|---|---|---|---|
| 1679139448 | Delaware Braces, LLC | Dentist | 2444 Pulaski Hwy Ste 200, Newark, DE 19702-3906 | 2019-05-16 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1144606310 | Rayanne Lee | Dentist | 110 Bergen Street, Rutgers School of Dental Medicine, Department of Orthodontics - Room C781, Newark, NJ 07103 | 2015-08-10 |
| 1366576373 | Thomas Wilson Beattie | Dentist | 589 Moull St, Newark, OH 43055-2909 | 2007-03-14 |
| 1932250735 | William D. Plikerd | Dentist | 974 N 21st St, Suite 1a, Newark, OH 43055-2990 | 2007-01-16 |
| 1205991668 | David S Briss | Dentist | 110 Bergen St Rm D884, Newark, NJ 07103-2495 | 2006-12-26 |
| 1366413528 | Brian E Crock | Dentist | 175 Mcmillen Dr, Newark, OH 43055-1810 | 2006-01-27 |
| 1841275609 | Robert E. Binder | Dentist | 110 Bergen Street, New Jersey Dental School, Department of Orthodontics, Newark, NJ 07101-1709 | 2005-12-14 |
| 1871064709 | Ezra Jared Brown | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2018-12-17 |
| 1629431960 | Nicholas Kelley | Dentist | 201 Lyons Ave, Newark, NJ 07112-2027 | 2016-04-04 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on DR. ANDREW C WONG.
| 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.