Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON WONG, DDS
Deactivated Sole ProprietorJASON WONG, DDS is a 1223D0004X healthcare provider located in PHOENIX, Arizona. NPI 1942645528 is deactivated in the NPPES registry. Verify at CMS.
1223D0004X · PHOENIX, AZ
This NPI has been deactivated.
The record was deactivated on March 27, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1942645528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2013 (0.88493150684932 yrs)
- Last Updated
- Oct 1, 2023
- Deactivated
- Mar 27, 2014
- Licenses
-
057530 (NY)9559 (AZ)9559 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3101 W INDIAN SCHOOL RDPHOENIX, AZ, 850174035Browse AZ providers · Browse ZIP 85017
- Phone
- 6028613333
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- Dentist
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 1223D0004X
Other 1223D0004X Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. CHAD MICHAEL STOKER | DDS | 1629025259 |
| TYLER TOMKINSON | — | 1841604659 |
| MR. KEVIN KRYDER | D.D.S. | 1083015101 |
| SHELBY OLSON | DDS | 1295185494 |
| CAITLIN MEREDITH WATERS | D.D.S. | 1659835817 |
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.