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JACQUELINE WONG D.M.D., M.M.SC.
NPI 1962616235
Dentist - Periodontics in San Francisco, CA

Active since May 09, 2007
1998 BROADWAY, APT 1207, SAN FRANCISCO, CA 94109(415) 317-6430(415) 346-8698 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Wong D.m.d., M.m.sc. NPPES

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

JACQUELINE WONG D.M.D., M.M.SC. (NPI 1962616235) is an individual periodontics provider in San Francisco, California, licensed in California (53490) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1962616235
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJACQUELINE WONGCredential: D.M.D., M.M.SC.
Location Address1998 BROADWAY, APT 1207San Francisco, CA 94109-2281
Mailing Address1998 Broadway, Apt 1207San Francisco, CA 94109-2281 · (415) 317-6430 · Fax (415) 346-8698
Phone(415) 317-6430
Fax(415) 346-8698
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962616235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 53490
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.
1998 BROADWAY, San Francisco, CA 94109
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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 Jacqueline Wong's NPI number?

The NPI number for Jacqueline Wong is 1962616235. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Jacqueline Wong located?

Jacqueline Wong practices at 1998 Broadway Apt 1207, San Francisco, CA 94109. The listed phone number is (415) 317-6430.

What is Jacqueline Wong's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline 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.