National Provider Identifier Database

JIMMY I WANG, DDS – NPI #1003956517
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

JIMMY I WANG, DDS
10432 RESERVE DRIVE
SUITE 110
SAN DIEGO, CA92127
Phone: 858-487-6428
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for JIMMY I WANG

NPI Number 1003956517
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/07/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 51387
Hospital affiliation n/a

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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