KEITH B WONG


Address: 1818 E Mercer St, Suite 200, Seattle, WA 98112-4687
Phone: 2068124494

KEITH B WONG (NPI# 1629326962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629326962
Entity Type Individual
Full Name KEITH B WONG
Credential DDS, MS
Practice Address 1818 E Mercer St
Suite 200
Seattle
WA 98112-4687
Practice Telephone 2068124494
Practice Fax Number 2068124490
Mailing Telephone 2068124494
Mailing Fax Number 2068124490
Enumeration Date 2012-08-16
Last Update Date 2012-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DE60262326 WA Dental Providers

Other Providers KEITH WONG

NPI Name Taxonomy Address Enumeration
1568950657 Keith Michael Wong Optometrist 13662 Jamboree Rd Ste A, Irvine, CA 92602-1224 2018-04-25
1538283536 Keith Hon Wing Wong Chiropractor 1089 N Salem Dr, Schaumburg, IL 60194-1331 2007-03-17
1336201615 Keith Yun Kong Wong Optometrist 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505 2006-12-14
1487739124 Keith Lew Wong Physical Therapist 821 Harrison St, Oakland, CA 94607-4422 2006-10-25
1952840738 Keith Wong Counselor 1500 Franklin St, San Francisco, CA 94109-4523 2017-02-14
1104200922 Keith Wong Family Medicine 1403 Lomita Blvd, Suite 100, Harbor City, CA 90710-2076 2015-07-10
1598083388 Keith Richard Wong Pharmacist 4955 Highway 6 N, Houston, TX 77084-2718 2010-05-04

Office Location

Street Address 1818 E MERCER ST
SUITE 200
City SEATTLE
State WA
Zip Code 98112-4687

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780128843 Henry Phan Massage Therapist 1818 E Mercer St, Unit 100, Seattle, WA 98112-4689 2016-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891254991 Justin Jeng-young Fu Student in an Organized Health Care Education/Training Program 125 16 Th Ave E, Csb 545, Seattle, WA 98112 2019-03-18
1275015604 Eyewear Gallery LLC Optometrist 3121 E. Madison St Ste 102, Seattle, WA 98112 2018-09-01
1336637081 Oh Plastic and Reconstructive Surgery LLC Plastic Surgery 602 27th Ave E, Seattle, WA 98112 2018-04-27
1992228191 John Joseph Folta Chiropractor 3121 E Madison St Ste 103a, Seattle, WA 98112 2017-07-19
1083161061 Sheick Toure Counselor 122 16 Ave E, Seattle, WA 98112 2016-09-07
1457721805 Jessica Donovan Audiologist 201 16th Ave E # Cmb, Seattle, WA 98112 2015-09-29
1952777427 Ronald Berenson Physiological Laboratory 2032 41st Avenue, Seattle, WA 98112 2015-08-19
1225419005 Adrienne Foley Counselor 1833 40th Ave. E., Seattle, WA 98112 2015-06-17
1952721771 Ling Guo Internal Medicine Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 2014-04-19
1134548068 Anne Gayman Family Medicine 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 2014-04-08
Find all providers in zip 98112

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457975948 Hurst and Shannon Pllc Dentist 400 Pine St Ste 2017, Seattle, WA 98101-3625 2020-06-01
1891250429 Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc Dentist 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 2019-02-07
1578070777 Daniel Schruth Dds Pllc Dentist 4716 Rainier Ave S, Seattle, WA 98118-1658 2018-01-09
1720513096 Fedora Katz Dentist 2108 N Pacific Street Ap 203, Seattle, WA 98103 2017-04-25
1285188979 Leone and Vaughn Orthodontics Dentist 3131 E Madison St Ste 200, Seattle, WA 98112-4248 2016-08-10
1336594852 Derek Joshua Hou Dentist 6210 28th Ave Ne, Seattle, WA 98115-7118 2016-05-03
1316300155 Soleil De Marsche Roberts Dentist 2714 Fairview Ave E, Apt 301, Seattle, WA 98102-3115 2016-03-30
1407230345 Douglas S. Ramsay Dentist Department of Oral Health Sciences, Univ. of Wa.; Box # 357475, Seattle, WA 98195-7475 2015-07-09
1225454374 Siddharth R Vora Dentist 523 Broadway E, 215, Seattle, WA 98102-5218 2014-03-13
1427324037 Christopher S. Spain, Dds, Pllc Dentist 2015 Terry Ave Apt 406, Seattle, WA 98121-2745 2012-03-28
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98112

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Dataset Information

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.

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