MAGNOLIA DENTAL
NPI 1225527765
Clinic/Center - Dental in San Luis Obispo, CA

Active since May 09, 2018
1042 PACIFIC ST STE B, SAN LUIS OBISPO, CA 93401(805) 543-6963(805) 543-8656 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, May 9, 2018 (2 updates tracked since 2018).

About Magnolia Dental NPPES

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

MAGNOLIA DENTAL (NPI 1225527765) is a healthcare organization registered as a dental in San Luis Obispo, California and active in the NPI registry since May 2018. The organization lists Christopher F. Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1225527765
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameC F WONG BETA DENTAL INCORPORATED
Location Address1042 PACIFIC ST STE BSan Luis Obispo, CA 93401-3661
Mailing Address1042 Pacific St Ste BSan Luis Obispo, CA 93401-3661 · (805) 543-6963 · Fax (805) 543-8656
Fax(805) 543-8656
Organization SubpartNo
Authorized OfficialChristopher F. WongOwner · (805) 543-6963
Enumeration DateMay 9, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1225527765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1042 PACIFIC ST STE B, San Luis Obispo, CA 93401

Other Names 1

Doing Business AsMagnolia Dental

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1042 PACIFIC ST STE B
SAN LUIS OBISPO, CA 93401
Dentist (General Practice)
1042 PACIFIC ST STE B
SAN LUIS OBISPO, CA 93401

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 C F Wong Beta Dental Incorporated's NPI number?

The NPI number for C F Wong Beta Dental Incorporated is 1225527765. It was assigned to this organization in the NPPES registry on May 9, 2018. The provider is doing business as Magnolia Dental.

Where is C F Wong Beta Dental Incorporated located?

C F Wong Beta Dental Incorporated is located at 1042 Pacific St Ste B, San Luis Obispo, CA 93401. The listed phone number is (805) 543-6963.

What is C F Wong Beta Dental Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for C F Wong Beta Dental Incorporated was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.