Provider Demographics
NPI:1215371661
Name:WANG, NORMAN ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ALAN
Last Name:WANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 PEACE PIPE CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3793
Mailing Address - Country:US
Mailing Address - Phone:410-206-9996
Mailing Address - Fax:
Practice Address - Street 1:122 SANDHILL DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5860
Practice Address - Country:US
Practice Address - Phone:302-376-9159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-27
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program