Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY WANG, DDS MD
Active Sole ProprietorMR. JERRY WANG, DDS MD is a Oral & Maxillofacial Surgery healthcare provider located in PLEASANTON, California. NPI 1639257330 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · PLEASANTON, CA
Registration Details
- NPI Number
- 1639257330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.775535718496 yrs)
- Last Updated
- Jan 2, 2020
- License
-
40200 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1475 CEDARWOOD LN STE APLEASANTON, CA, 945666128Browse CA providers · Browse ZIP 94566
- Phone
- 9254261600
- Fax
- 9254261601
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.