Healthcare Provider Details

I. General information

NPI: 1801503453
Provider Name (Legal Business Name): HOWARD H. WANG, D.D.S. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 W 5TH ST # CF2
BROOKLYN NY
11204-4190
US

IV. Provider business mailing address

1457 W 5TH ST # CF2
BROOKLYN NY
11204-4190
US

V. Phone/Fax

Practice location:
  • Phone: 646-705-4908
  • Fax:
Mailing address:
  • Phone: 646-705-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD H WANG
Title or Position: DENTIST
Credential: DDS, MBA, MPH, MS
Phone: 646-705-4908