Norman Gong Wat in Fremont - Oral And Maxillofacial Surgery

Norman Gong Wat - NPI 1033260534

Norman Gong Wat is a Oral And Maxillofacial Surgery in Fremont, California. Norman Gong Wat practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Norman Gong Wat is 1033260534. The last update date is 2007-07-08.

Norman Gong Wat's current location address is 38149 Martha Ave, Fremont, California. You can contact this provider via phone number 5107974430 and fax number 5107974615. The mailing address for Norman Gong Wat is 38149 Martha Ave, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Norman Gong Wat
Address 38149 Martha Ave, Fremont, California
Phone Number 5107974430
Fax Number 5107974615
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1033260534
Provider Enumeration Date 2007-01-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 38149 Martha Ave
City Fremont
State California (CA)
Post Code 945363800
Phone Number 5107974430
Fax Number 5107974615

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DN27707
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN27707 CA DENTAL LICENCE NUMBER

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FAQs about Norman Gong Wat

What is the unique provider identifier assigned to Norman Gong Wat?

The Norman Gong Wat has been issued the NPI (National Provider Identifier) 1033260534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Norman Gong Wat is geographically located?

The Norman Gong Wat is physically situated at the following location: 38149 Martha Ave, Fremont, CA, 945363800.

What is Norman Gong Wat's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Norman Gong Wat is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

On what date was the 1033260534 assigned to Norman Gong Wat?

The Norman Gong Wat was issued its 1033260534 on 2007-01-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Norman Gong Wat's information last updated?

The Norman Gong Wat's information was last updated on 2007-07-08.

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