KENNETH C K WONG DDS
NPI 1104995307
Dentist - Oral and Maxillofacial Surgery in Rocklin, CA

Q: What is Kenneth Wong's NPI number?

The NPI number for Kenneth Wong is 1104995307. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Kenneth Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Wong was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2006

6514 LONETREE BLVD, ROCKLIN, CA 95765(916) 797-2700(916) 797-0700 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth C K Wong Dds NPPES

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

KENNETH C K WONG DDS (NPI 1104995307) is an individual oral and maxillofacial surgery provider in Rocklin, California, licensed in California (47824) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104995307

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameKENNETH C K WONGCredential: DDS

Location Address6514 LONETREE BLVDRocklin, CA 95765

Mailing Address6514 Lonetree BlvdRocklin, CA 95765 · (916) 797-2700 · Fax (916) 797-0700

Phone(916) 797-2700

Fax(916) 797-0700

Sole ProprietorNo

Enumeration DateNovember 6, 2006

Last NPPES UpdateOctober 19, 2007

✔ NPI 1104995307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 47824

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6514 LONETREE BLVD, Rocklin, CA 95765

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Other Identifiers 2

Medicare ID-Type UnspecifiedDS0478240

Medicare UPINV06713

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 Kenneth Wong's NPI number?

The NPI number for Kenneth Wong is 1104995307. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Kenneth Wong located?

Kenneth Wong practices at 6514 Lonetree Blvd, Rocklin, CA 95765. The listed phone number is (916) 797-2700.

What is Kenneth Wong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kenneth Wong was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.