NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

SAM Y WONG, DDS
1904 FRANKLIN ST
SUITE 511
OAKLAND, CA94612-2912
 Phone: 510-893-8066
 Fax: 510-893-6542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SAM Y WONG · (Male)

NPI Number 1003023268
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/17/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 24696
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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