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Active NPI 1144062001 Organization (Entity Type 2)

Gregory G. Wang, Dds, Pllc

Clinic/Center - Dental • Bothell, WA

About Gregory G. Wang, Dds, Pllc NPI 1144062001 Summary

Gregory G. Wang, Dds, Pllc is a verified healthcare organization specializing in Clinic/Center - Dental operating in Bothell, WA. Located at 22010 17TH AVE SE STE B, this facility provides patient care and medical services under National Provider Identifier (NPI) 1144062001.

Administrative operations and authorized compliance are overseen by Gregory Wang (Member).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

22010 17th Ave Se Ste B

Bothell, WA 980218486

Telephone 4254818571

Authorized Official Information

Authorized Contact Name

Gregory Wang , DDS

Title / Role

Member

Official Telephone

6464500731

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dr. Gregory Wang , DDS NPI 1083042204

Dentist - General Practice

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events

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Updated Practice Location October 17, 2024

Registered at 22010 17TH AVE SE STE B, BOTHELL, WA 980218486 (Tel: 4254818571)

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NPI Profile Active June 11, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2024

Registered at 22010 17TH AVE SE, BOTHELL, WA 980218486 (Tel: 4254818571)

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Updated Business Mailing Address June 11, 2024

Registered at 12909 NE 201ST ST, WOODINVILLE, WA 980723702 (Tel: 6464500731)

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Organization / Clinic Name Updated June 11, 2024

Operating as GREGORY G. WANG, DDS, PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Clinic/Center

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Initial NPI Registration & Enumeration June 11, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1144062001

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 11, 2024

Last Update: October 17, 2024

Update or Correct Listing

Mailing Address

12909 Ne 201st St

Woodinville, WA 980723702

Phone: 6464500731

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.