Provider Demographics
NPI:1235451881
Name:WANG, BING-YAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:BING-YAN
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6516 M D ANDERSON BLVD
Mailing Address - Street 2:ROOM 308
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3402
Mailing Address - Country:US
Mailing Address - Phone:713-500-4385
Mailing Address - Fax:713-500-4393
Practice Address - Street 1:6516 M D ANDERSON BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3402
Practice Address - Country:US
Practice Address - Phone:713-500-4385
Practice Address - Fax:713-500-4393
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054796122300000X
TX271801223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist