Provider Demographics
NPI:1164809760
Name:HONGWEI WANG DDS INC
Entity Type:Organization
Organization Name:HONGWEI WANG DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HONGWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-895-1100
Mailing Address - Street 1:7370 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1889
Mailing Address - Country:US
Mailing Address - Phone:614-889-0664
Mailing Address - Fax:614-889-0899
Practice Address - Street 1:168 DORCHESTER SQ S
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-7303
Practice Address - Country:US
Practice Address - Phone:614-895-1100
Practice Address - Fax:614-889-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30023849122300000X
OH30023529122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0119440Medicaid