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NPI Code Detail

MEDICARE: DENEEN S WANG DDS

MEDICARE:   DENEEN S WANG  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist6001872-15WI

General Provider Information

NPI Number : 1811871486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENEEN S WANG DDS
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 813-943-4347
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 813-943-4347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 06/29/2026

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Directions to “ DENEEN S WANG DDS” Practice Location

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