Everett Soonken Ong, DDS

General Practice Dentistry · Clovis, NM

Individual Active NPI

NPI number 1366503997

Practice location

27TH Special Operations Medical Group
224 W D.L.Ingram Ave., Bldg 1408
Clovis, NM 88103-5495
Phone
(575) 904-3948

Open in Google Maps

NPI record

NPI
1366503997
Entity type
Individual (Type 1)
Enumeration date
December 13, 2006
Last updated
October 2, 2024
Certified
September 27, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 40869 CA

Mailing address

82 Kingpin Loop
Clovis, NM 88101-5495
Phone
(575) 562-0220

About Dr. Ong

Everett Soonken Ong, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 27TH Special Operations Medical Group, 224 W D.L.Ingram Ave., Bldg 1408, Clovis, NM 88103-5495. The NPI number 1366503997 was assigned on December 13, 2006 and the record was last updated on October 2, 2024.

Dr. Ong lists a license in the registry: #40869 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Everett Soonken Ong, DDS?

The NPI number is 1366503997.

What is the phone number of Dr. Ong?

The phone number listed for the practice location is (575) 904-3948.

Where is Dr. Ong located?

27TH Special Operations Medical Group, 224 W D.L.Ingram Ave., Bldg 1408, Clovis, NM 88103-5495.

What is the taxonomy code for Dr. Ong?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Clovis

All General Practice Dentistry providers in Clovis, NM →