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DR. JONATHAN WANG DDS
NPI 1881473411
Dentist - Periodontics in Roseville, CA

Active since September 25, 2023
580 N SUNRISE AVE STE 190, ROSEVILLE, CA 95661(916) 772-0112 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2026, Sep 14, 2025 (2 updates tracked since 2025).

About Dr. Jonathan Wang Dds NPPES

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

DR. JONATHAN WANG DDS (NPI 1881473411) is an individual periodontics provider in Roseville, California, licensed in California (DDS108810) and active in the NPI registry since September 2023. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881473411
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JONATHAN WANGCredential: DDS
Location Address580 N SUNRISE AVE STE 190Roseville, CA 95661-2890
Mailing Address1069 Kendall DrSan Gabriel, CA 91775-2710
Phone(916) 772-0112
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1881473411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · DDS108810
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
580 N SUNRISE AVE STE 190, Roseville, CA 95661
Open in Google Maps ↗

Secondary Practice Locations 2

Location 131493 Rancho Pueblo Rd Ste 101Temecula, CA 92592-4833 · Phone (951) 302-6385
Location 2925 W 34th St # 102Los Angeles, CA 90089-2710 · Phone (213) 740-5006

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Combined Life, Humana and more.Insurance ›

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.

DEAN N. AHMAD DDS INC.
Clinic/Center (Dental)
580 N SUNRISE AVE STE 190
ROSEVILLE, CA 95661
Placer County (916) 772-0112
DR. DEAN NADEEM AHMAD DDS
Dentist (Periodontics)
580 N SUNRISE AVE STE 190
ROSEVILLE, CA 95661
Placer County (916) 770-9034

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 Jonathan Wang's NPI number?

The NPI number for Jonathan Wang is 1881473411. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Jonathan Wang located?

Jonathan Wang practices at 580 N Sunrise Ave Ste 190, Roseville, CA 95661. The listed phone number is (916) 772-0112.

What is Jonathan Wang's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jonathan Wang accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Combined Life, Humana and UnitedHealthcare list Jonathan Wang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Wang was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.