Provider Demographics
NPI:1083096986
Name:WANG, HOWARD HAO (DDS, MBA, MPH, MS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:HAO
Last Name:WANG
Suffix:
Gender:M
Credentials:DDS, MBA, MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10737 71ST AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4757
Mailing Address - Country:US
Mailing Address - Phone:718-263-0423
Mailing Address - Fax:
Practice Address - Street 1:10737 71ST AVE STE 4
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4757
Practice Address - Country:US
Practice Address - Phone:718-263-0423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-26
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0587021223E0200X, 1223P0300X
CT11399122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223E0200XDental ProvidersDentistEndodontics
No1223P0300XDental ProvidersDentistPeriodontics