MEDICARE: DR. WILLIAM N ONG 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
1	1223G0001X	General Practice Dentistry	43382	CA

General Provider Information

NPI Number	:	1851499966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM N ONG DDS

Provider Business Mailing Address
First Line	:	6740 MISSION ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-2031
Country	:	US
Telephone Number	:	650-991-7397
Fax Number	:	650-991-7398

Provider Business Practice Location Address
First Line	:	6740 MISSION ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-2031
Country	:	US
Telephone Number	:	650-991-7397
Fax Number	:	650-991-7398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/11/2019

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