DR. MARISSA WANG DMD
NPI 1073193348
Dentist - General Practice in San Rafael, CA

Active since April 12, 2021
3110 KERNER BLVD, SAN RAFAEL, CA 94901(626) 297-0068 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marissa Wang Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARISSA WANG DMD (NPI 1073193348) is an individual general practice provider in San Rafael, California, licensed in California (105449) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1073193348
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARISSA WANGCredential: DMD
Location Address3110 KERNER BLVDSan Rafael, CA 94901-5411
Mailing Address11911 Lambert AveEl Monte, CA 91732-2031 · (626) 297-0068
Sole ProprietorYes
Enumeration DateApril 12, 2021
NPPES CertifiedApril 12, 2021
NPI 1073193348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 105449
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3110 KERNER BLVD, San Rafael, CA 94901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Dentist
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Dentist
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Acupuncturist
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Nurse Practitioner (Primary Care)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Nurse Practitioner (Psychiatric/Mental Health)
3110 KERNER BLVD
SAN RAFAEL, CA 94901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Wang's NPI number?

The NPI number for Marissa Wang is 1073193348. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Marissa Wang located?

Marissa Wang practices at 3110 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (626) 297-0068.

What is Marissa Wang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Marissa Wang was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.