Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154860849 Individual Practitioner Male Practitioner

Dr. Peter Wong , DDS

Dentist - General Practice • Northridge, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Wong, DDS is a registered healthcare professional specializing in Dentist - General Practice in Northridge, CA. Practice services are available at 18519 DEVONSHIRE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18519 Devonshire St

Northridge, CA 91324

Telephone 8188319990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Northridge, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
59 Specialists

Practicing in Northridge, 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 103701

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY 059863

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.

Secondary Practice Locations

143 N Carll Ave

Babylon, NY 11702

Phone: 6316692330

143 N Carll Ave

Babylon, NY 11702

Phone: 6316692330

111 E 210th St

Bronx, NY 104672401

Phone: 7189204321

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1386296507

Doctor of Dental Surgery

Dr. Michael Koury , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1518075654

Doctor of Dental Surgery

Dr. Aaron Howard , DDS

Dentist - General Practice

NPI 1659040293

Doctor of Dental Surgery

NPI 1720482276

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 28, 2019

Registered at 18519 DEVONSHIRE ST, NORTHRIDGE, CA 91324 (Tel: 8188319990)

📍
Updated Business Mailing Address October 28, 2019

Registered at 18519 DEVONSHIRE ST, NORTHRIDGE, CA 913241308 (Tel: 8188319990)

📍
Updated Practice Location August 21, 2018

Registered at 143 N CARLL AVE, BABYLON, NY 11702 (Tel: 6316692330)

📍
Updated Business Mailing Address August 21, 2018

Registered at 11 W MAIN ST # 5-403, PATCHOGUE, NY 117723087 (Tel: 6508684231)

👤
Provider Name / Credentials Updated August 21, 2018

Recorded as PETER WONG, DDS

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 111 E 210TH ST, BRONX, NY 104672401 (Tel: 7189204321)

📍
Updated Business Mailing Address February 15, 2017

Registered at 8 PETER COOPER RD, APARTMENT 8H, NEW YORK, NY 100106711 (Tel: 6508684231)

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as PETER WONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 15, 2017

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: 1154860849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2017
Last Update: October 28, 2019
Sole Proprietor: No

Mailing Address

18519 Devonshire St

Northridge, CA 913241308

Phone: 8188319990

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.