Provider Demographics
NPI:1629845748
Name:HW DENTAL POLARIS - HONGWEI WANG DDS LLC
Entity Type:Organization
Organization Name:HW DENTAL POLARIS - HONGWEI WANG DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HONGWEI
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-895-1100
Mailing Address - Street 1:9379 S OLD STATE RD
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-8448
Mailing Address - Country:US
Mailing Address - Phone:614-888-9399
Mailing Address - Fax:614-888-9412
Practice Address - Street 1:9379 S OLD STATE RD
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-8448
Practice Address - Country:US
Practice Address - Phone:614-888-9399
Practice Address - Fax:614-888-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental