Derek Wong, D.D.S

General Practice Dentistry · San Mateo, CA

Individual Active NPI

NPI number 1427367135

Practice location

255 N San Mateo Dr Ste 2
San Mateo, CA 94401-2671
Phone
(650) 347-7100

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NPI record

NPI
1427367135
Entity type
Individual (Type 1)
Enumeration date
September 29, 2010
Last updated
November 17, 2023
Certified
November 17, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 59808 CA

About Dr. Wong

Derek Wong, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 255 N San Mateo Dr Ste 2, San Mateo, CA 94401-2671. The NPI number 1427367135 was assigned on September 29, 2010 and the record was last updated on November 17, 2023.

Dr. Wong lists a license in the registry: #59808 (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 Derek Wong, D.D.S?

The NPI number is 1427367135.

What is the phone number of Dr. Wong?

The phone number listed for the practice location is (650) 347-7100.

Where is Dr. Wong located?

255 N San Mateo Dr Ste 2, San Mateo, CA 94401-2671.

What is the taxonomy code for Dr. Wong?

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.

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