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DR. LESLIE MARK WONG D.D.S.
NPI 1154464790
Dentist - General Practice in San Jose, CA

Active since February 14, 2007PECOS Enrolled
827 BLOSSOM HILL RD, SUITE W-3, SAN JOSE, CA 95123(408) 224-2000(408) 224-4111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leslie Mark Wong D.d.s. NPPES

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

DR. LESLIE MARK WONG D.D.S. (NPI 1154464790) is an individual general practice provider in San Jose, California, licensed in California (33879) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154464790
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LESLIE MARK WONGCredential: D.D.S.
Location Address827 BLOSSOM HILL RD, SUITE W-3San Jose, CA 95123-2701
Mailing Address827 Blossom Hill Rd, Suite W-3San Jose, CA 95123-2701 · (408) 224-2000 · Fax (408) 224-4111
Phone(408) 224-2000
Fax(408) 224-4111
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154464790 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 · 33879
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.
827 BLOSSOM HILL RD, San Jose, CA 95123
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Other Names 1

Other Name (5)Dr. Les M Wong D.d.s.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Leslie Mark Wong D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. HOWARD HOOSHFAR DEFAII D.D.S.
Dentist (General Practice)
827 BLOSSOM HILL RD, SUITE E-3
SAN JOSE, CA 95123
Santa Clara County (408) 227-5012
DR. TOM HIRANO CLARK DDS
Dentist (General Practice)
827 BLOSSOM HILL RD, SUITE E-5
SAN JOSE, CA 95123
Santa Clara County (408) 224-8400
NANCY TRINH DDS A DENTAL CORPORATION
Dentist (General Practice)
827 BLOSSOM HILL RD
SAN JOSE, CA 95123
Santa Clara County (310) 628-0652
M LOURDES ESTRELLA ABIOG DMD
Dentist
827 BLOSSOM HILL RD, SUITE W2
SAN JOSE, CA 95123
Santa Clara County (408) 578-6700
ANTONIO GUTIERREZ ABIOG JR. DMD
Dentist
827 BLOSSOM HILL RD, SUITE W2
SAN JOSE, CA 95123
Santa Clara County (408) 578-6700
DR. DICK WING KOO D.D.S.
Dentist (General Practice)
827 BLOSSOM HILL RD, SUITE E-8
SAN JOSE, CA 95123
Santa Clara County (408) 578-4700
DR. DENNIS K. KINOSHITA D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
827 BLOSSOM HILL RD, SUITE W-4
SAN JOSE, CA 95123
Santa Clara County (408) 226-3000
TIMOTHY ALBRECHT CORCORAN D.D.S.
Dentist (General Practice)
827 BLOSSOM HILL RD, SUITE E-7
SAN JOSE, CA 95123
Santa Clara County (408) 578-7121

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 Leslie Wong's NPI number?

The NPI number for Leslie Wong is 1154464790. It was assigned to this individual provider in the NPPES registry on February 14, 2007. The provider is also known as Dr. Les M Wong D.D.S..

Where is Leslie Wong located?

Leslie Wong practices at 827 Blossom Hill Rd Suite W-3, San Jose, CA 95123. The listed phone number is (408) 224-2000.

What is Leslie Wong's specialty?

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

Is Leslie Wong enrolled in Medicare?

Yes. Leslie Wong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Wong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.