Healthcare Provider Details

I. General information

NPI: 1205512423
Provider Name (Legal Business Name): HECHENG WANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY WANG

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 FRANKLIN AVE
HARTFORD CT
06114-1848
US

IV. Provider business mailing address

272 FRANKLIN AVE
HARTFORD CT
06114-1848
US

V. Phone/Fax

Practice location:
  • Phone: 860-296-5347
  • Fax:
Mailing address:
  • Phone: 860-296-5347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14851
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: