=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346158839
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TZU YUN WANG
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/27/2026
-----------------------------------------------------
Last Update Date | 08/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 351 W SCHUYLKILL RD STE G-15A
-----------------------------------------------------
City | POTTSTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19465-7438
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-844-2625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 351 CREAMERY WAY UNIT 1222
-----------------------------------------------------
City | EXTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19341-2555
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-844-2625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 124Q00000X
-----------------------------------------------------
Taxonomy Name | Dental Hygienist
-----------------------------------------------------
License Number | DH075988
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------