Provider Demographics
NPI:1447610423
Name:DRS WANG AND SCOTT ORTHODONTICS LLC
Entity Type:Organization
Organization Name:DRS WANG AND SCOTT ORTHODONTICS LLC
Other - Org Name:DRS. RUGER AND WANG ORTHODONTICS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-321-0505
Mailing Address - Street 1:2324 W JOPPA RD
Mailing Address - Street 2:SUITE 430
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4615
Mailing Address - Country:US
Mailing Address - Phone:410-321-0505
Mailing Address - Fax:410-825-1159
Practice Address - Street 1:2324 W JOPPA RD
Practice Address - Street 2:SUITE 430
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4615
Practice Address - Country:US
Practice Address - Phone:410-321-0505
Practice Address - Fax:410-825-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD69151223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty