JEANNIE JIN WANG (NPI# 1912450578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912450578 |
| Entity Type | Individual |
| Full Name | JEANNIE JIN WANG |
| Credential | DMD |
| Practice Address |
4421 Long Prairie Rd. #400 Flower Mound TX 75028 |
| Mailing Address |
302 Walnut Grove Ln. Coppell TX 75019 |
| Practice Telephone | 9726913636 |
| Mailing Telephone | 9174036753 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
34592 | TX | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RES3773 | OH | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376862946 | Jeannie Wang | Physical Therapist | 63 Bayne Pl, White Plains, NY 10605-4023 | 2010-05-21 |
| 1487714002 | Jeannie Wang | Obstetrics & Gynecology | 5970 Churchview Dr, Rockford, IL 61107-2574 | 2006-12-12 |
| 1548253032 | Jeannie L Wang | Optometrist | 3241 S Michigan Ave, Chicago, IL 60616-3849 | 2005-08-30 |
| Street Address |
4421 LONG PRAIRIE RD. #400 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| 1588050090 | Texas Endodontic Center,pllc | Dentist | 4421 Long Prairie Rd, Ste. 400, Flower Mound, TX 75028 | 2015-04-10 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633054 | Kyle Countryman | Dentist | 4421 Long Prairie Rd Ste 400, Flower Mound, TX 75028-1752 | 2018-09-19 |
| 1699288068 | Associates In Pie | Dentist | 1005 Long Prairie Rd Ste 100, Flower Mound, TX 75022-4232 | 2017-11-08 |
| 1588050090 | Texas Endodontic Center,pllc | Dentist | 4421 Long Prairie Rd, Ste. 400, Flower Mound, TX 75028 | 2015-04-10 |
| 1720291735 | Shab R. Krish | Dentist | 1005 Long Prairie Rd, Suite 100, Flower Mound, TX 75022-4202 | 2007-05-07 |
| 1063030815 | Keely Walgama | Dentist | 1005 Long Prairie Rd Ste 100, Flower Mound, TX 75022-4232 | 2020-07-08 |
| 1558810663 | Michelle Soriano | Dentist | 4421 Long Prairie Rd, Suite 400, Flower Mound, TX 75028-1795 | 2016-09-30 |
| 1528279379 | Susana M Bruce | Dentist | 1005 Long Prairie Rd, Ste 100, Flower Mound, TX 75022-4202 | 2007-05-24 |
| 1629129473 | Sandy Shann-yuh Wang | Dentist | 2560 Central Park Ave, Suite 128, Flower Mound, TX 75028-1554 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221392 | Erika Silguero | Dentist | 101 E Expressway 83 Ste 120, Mcallen, TX 78501-1164 | 2020-10-01 |
| 1952925968 | Premier Endodontics, P.C. | Dentist | 3400 N Mccoll Rd Ste C, Mcallen, TX 78501-5783 | 2020-06-04 |
| 1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366074890 | Magnolia Family Dentistry Pllc | Dentist | 610 Melton St Ste 300, Magnolia, TX 77354-2366 | 2020-02-12 |
| 1639719925 | Yelton Jung Endodontics Group | Dentist | 1901 Fm 423 Ste 200, Frisco, TX 75033-4729 | 2020-01-14 |
| 1528608817 | Yelton Jung Endodontics Group | Dentist | 1710 Highway 287 N Ste 100, Mansfield, TX 76063-7725 | 2020-01-14 |
| 1699323618 | Jaymin Jayantibhai Patel | Dentist | 2112 Boll St Apt 122, Dallas, TX 75204-2835 | 2019-09-03 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1790349165 | Endodontics & Microsurgery Center PC | Dentist | 23543 Kingsland Blvd Ste 500, Katy, TX 77494-3962 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
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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.