Individual provider · Type 1 NPI

Jason Wong, DDS

Dental Anesthesiology · Phoenix, AZ

NPI number 1942645528 Active · reactivated Nov 18, 2016

Practice location

3101 W Indian School Rd
Phoenix, AZ 85017-4035

Mailing address

4422 N 75th St Unit 6008
Scottsdale, AZ 85251-4080

Other practice locations

  • 695 E. Cottonwood Lane, Casa Corando, AZ 85122 · (520) 876-5200
  • 695 E Cottonwood Ln, Casa Grande, AZ 85122-2023 · (520) 876-5200

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X057530 (NY)
Dentist 122300000X9559 (AZ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dental Anesthesiology Primary 1223D0004X9559 (AZ)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

7 other providers at this address

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About NPI 1942645528

Jason Wong, DDS's National Provider Identifier is 1942645528, issued on May 8, 2013. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 1, 2023.