Derrick B Wong is a Endodontics in Lompoc, California. Derrick B Wong practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Derrick B Wong is 1336277870. The last update date is 2007-07-08.
Derrick B Wong's current location address is 1111 E Ocean Ave, Lompoc, California. You can contact this provider via phone number 8057359200 and fax number 8057359550. The mailing address for Derrick B Wong is 1111 E Ocean Ave, Lompoc, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick B Wong |
|---|---|
| Address | 1111 E Ocean Ave, Lompoc, California |
| Phone Number | 8057359200 |
| Fax Number | 8057359550 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1336277870 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1111 E Ocean Ave |
|---|---|
| City | Lompoc |
| State | California (CA) |
| Post Code | 934367076 |
| Phone Number | 8057359200 |
| Fax Number | 8057359550 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 47433 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code issued to Derrick B Wong by the Centers for Medicare & Medicaid Services?
The Derrick B Wong has been assigned the NPI (National Provider Identifier) 1336277870 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Derrick B Wong?
The Derrick B Wong is situated at 1111 E Ocean Ave, in the city of Lompoc, state of CA, with the zip code 934367076.
What is Derrick B Wong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derrick B Wong is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did Derrick B Wong receive its 1336277870 assignment from the Centers for Medicare & Medicaid Services?
The Derrick B Wong was assigned its 1336277870 on 2007-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Derrick B Wong last refreshed?
The information related to the Derrick B Wong, including its address, specialty, and other relevant details, was last updated on 2007-07-08.