Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639174477 Deactivated / Inactive NPI Male Practitioner

Dr. Conway K.w. Woo , DDS

Dentist - General Practice • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Conway Woo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date September 27, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Conway Woo, DDS was a registered Dentist - General Practice practicing in Fresno, CA. Throughout an active medical career spanning 19 years, Dr. Woo provided care at the practice location at 1201 E HERNDON AVE until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

1201 E Herndon Ave
Ste 103

Fresno, CA 937203238

Telephone 5594398224
Fax 5594315097
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
276 Specialists

Practicing in Fresno, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 17803

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Shamsuddin Khwaja , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1679570527

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2010

Registered at 1201 E HERNDON AVE, STE 103, FRESNO, CA 937203238 (Tel: 5594398224)

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Updated Business Mailing Address August 05, 2010

Registered at 1201 E HERNDON AVE, STE 103, FRESNO, CA 937203238 (Tel: 5594398224)

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Provider Name / Credentials Updated August 05, 2010

Recorded as CONWAY WOO, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Dentist (License #17803 in CA)

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Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639174477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: August 05, 2010
Deactivation Date: September 27, 2024

Mailing Address

1201 E Herndon Ave, Ste 103

Fresno, CA 937203238

Phone: 5594398224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.