DR. MICHAEL WILLIAM WONG (NPI# 1902223548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902223548 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM WONG |
| Credential | DMD |
| Practice Address |
3540 N Belt W Suite E Belleville IL 62226-5975 |
| Practice Telephone | 6182338667 |
| Practice Fax Number | 6182338715 |
| Mailing Telephone | 6182338667 |
| Mailing Fax Number | 6182338715 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
019029087 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| 1184002537 | Michael Walter Wong | Family Medicine | 2057 State Route 130, Jeannette, PA 15644-3801 | 2015-05-18 |
| 1083010854 | Michael Yuwei Wong | Pharmacist | 419 Downey Ln, Placentia, CA 92870-7515 | 2014-11-06 |
| 1710223540 | Michael Wong | Occupational Therapy Assistant | 3901 Cathedral Ave Nw Unit 319, Washington, DC 20016-5215 | 2012-12-26 |
| 1609140730 | Michael Jun Wong | Physical Therapist | 2430 Skillman Ave, Long Island City, NY 11101-4524 | 2012-03-07 |
| 1154602621 | Michael Dennis Wong | Psychologist | 35 Memorial Rd, 12a, Somerville, MA 02145-1702 | 2011-08-29 |
| 1982919734 | Michael Kin Chung Wong | Optometrist | 6506 Loisdale Rd Ste 102, Springfield, VA 22150-1815 | 2010-08-17 |
| 1093906836 | Michael J Wong | Specialist | 201 S Alvarado St Ste 618, Los Angeles, CA 90057-2386 | 2007-08-07 |
| 1811105752 | Michael Joseph Wong | Dentist | 5400 S Central Ave, Phoenix, AZ 85040-3040 | 2007-05-21 |
| Street Address |
3540 N BELT W SUITE E |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350967 | Gary L. Vogel | Optometrist | 3540 N Belt W, Suite C, Belleville, IL 62226-5975 | 2005-10-18 |
| 1538424577 | Belleville Family Dental | Dentist | 3540 N Belt W, Ste B, Belleville, IL 62226-5975 | 2012-07-05 |
| 1306109061 | Joseph Edward Gross | Dentist | 3540 N Belt W, Suite B, Belleville, IL 62226-5975 | 2012-06-19 |
| 1306042031 | Leo N Dumstorff II | Dentist | 3540 N Belt W, Suite B, Belleville, IL 62226-5975 | 2007-06-21 |
| 1194852608 | Mark Christopher Azar | Dentist | 3540 N Belt W, Suite D, Belleville, IL 62226-5975 | 2007-02-28 |
| 1043399850 | Kraemer & Vogel Od Ltd | Durable Medical Equipment & Medical Supplies | 3540 N Belt W, Suite C, Belleville, IL 62226-5975 | 2006-11-03 |
| 1104912583 | John Robert Markarian | Dentist | 3540 N Belt W, Suite E, Belleville, IL 62226-5975 | 2006-10-05 |
| 1487643540 | Thomas Errol Kraemer | Optometrist | 3540 N Belt W, Ste C, Belleville, IL 62226-5975 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104912583 | John Robert Markarian | Dentist | 3540 N Belt W, Suite E, Belleville, IL 62226-5975 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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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.