FABIAN WONG DMD
NPI 1164356101
Student in an Organized Health Care Education/Training Program in Farmington, CT
About Fabian Wong Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FABIAN WONG DMD (NPI 1164356101) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (14840) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fabian Wong Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FARMINGTON, CT 06030
FARMINGTON, CT 06030
FARMINGTON, CT 06030
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 Fabian Wong's NPI number?
The NPI number for Fabian Wong is 1164356101. It was assigned to this individual provider in the NPPES registry on June 12, 2026.
Where is Fabian Wong located?
Fabian Wong practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2000.
What is Fabian Wong's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Fabian Wong enrolled in Medicare?
Yes. Fabian Wong is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Fabian Wong was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.
# Fabian Wong, DMD · NPI 1164356101
Student in an Organized Health Care Education/Training Program provider in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since June 12, 2026.
## Identity
- **NPI:** 1164356101 (Entity type: Individual)
- **Enumerated:** June 12, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 14840 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 263 FARMINGTON AVE, Farmington, CT 06030-0001
- **Phone:** (860) 679-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164356101) · Data from the CMS NPPES public registry.