626 DENTAL CARE – NPI #1558864819
Clinic/Center

626 DENTAL CARE is an AHC clinic located in EL MONTE, CA. NPPES has assigned the NPI number 1558864819 to 626 DENTAL CARE on March 13, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “626 DENTAL CARE” is a dba name, the actual legal business name for this organization is CHARLES WANG DDS, PROFESSIONAL CORPORATION. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Jul 05, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 626 DENTAL CARE below.

NPI Profile for
CHARLES WANG DDS, PROFESSIONAL CORPORATION

NPI Number
1558864819
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES WANG DDS, PROFESSIONAL CORPORATION
Doing Business As (dba): 626 DENTAL CARE
Primary location
4900 PECK RD
EL MONTE, CA 91732
Phone: (626) 579-5158 Fax: (626) 579-5311
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES WANG
PRESIDENT
Phone: (626) 579-5158
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 56386

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.