SIEW-GING GONG (NPI# 1669865069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669865069 |
| Entity Type | Individual |
| Full Name | SIEW-GING GONG |
| Credential | BDS, MS, MA, PHD |
| Practice Address |
2681 W Grand Blvd Detroit MI 48208-1233 |
| Practice Telephone | 1313875344 |
| Mailing Telephone | 1313875344 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901016635 | MI | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901016635 | MI | Dental Providers |
| Street Address |
2681 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48208-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
| 1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
| 1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
| 1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
| 1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
| 1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
| 1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
| 1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
| 1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
| Find all providers in zip 48208 | ||||
| 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 |
|---|---|---|---|---|
| 1902273832 | Motor City Orthodontic Specialists | Dentist | 407 E Fort St, Suite 502, Detroit, MI 48226-2940 | 2015-08-26 |
| 1306166780 | Leonard L. Brown Jr. | Dentist | 18930 Greenfield Road, Detroit, MI 48235 | 2010-06-08 |
| 1629247473 | Talmadge Mckinney | Dentist | 18930 Greenfield Rd, Detroit, MI 48235 | 2008-02-26 |
| 1962692988 | Wayne J Joseph, D.d.s.,ms,pc | Dentist | 10751 Whittier St, Detroit, MI 48224-1754 | 2007-07-26 |
| 1528532868 | Hekyong Kang | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2019-01-21 |
| 1679721294 | Developmental Dentistry, Pllc | Dentist | 79 W Alexandrine St, 3rd. Floor, Detroit, MI 48201-2015 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909707 | Craig Mcmullen | Dentist | 44110 W 12 Mile Rd # 100, Novi, MI 48377-2614 | 2020-10-14 |
| 1003425208 | Hsin-chuan Pan | Dentist | 120 N Bridge St Ste C, Linden, MI 48451-8823 | 2020-07-24 |
| 1720697063 | Oakland Orthodontics | Dentist | 2789 Rochester Rd, Troy, MI 48083-1920 | 2020-07-22 |
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1811511538 | Leah Marie Vernacchia | Dentist | 4299 Orchard Lake Rd # 196, West Bloomfield, MI 48323-1681 | 2020-05-29 |
| 1376163345 | Smile Doctors of Michigan PC | Dentist | 13945 Panther Dr, Dewitt, MI 48820-8506 | 2020-04-20 |
| 1306470596 | Siddiqui Orthodontics, PC | Dentist | 2211 Monroe St, Dearborn, MI 48124-3007 | 2020-02-26 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1639738743 | Orthodontics Center of Novi, PC | Dentist | 27250 Wixom Rd Ste B, Novi, MI 48374-1116 | 2019-06-12 |
| 1497218291 | Bradley J. Gauthier, Dds, Ms, PC | Dentist | 441 S Livernois Rd Ste 250, Rochester Hills, MI 48307-2586 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
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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.