| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIMOTHY T WANG | 1477133791 | 2021-04-11 |
Timothy T Wang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477133791. Registration indicates Timothy T Wang is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Timothy T Wang DDS |
| Other Provider Name | Tianyang Wang |
| Practice Office Address | 3030 LBJ FWY STE 1700 DALLAS, TX US |
| Practice Office Telephone | 2143923828 |
| Mailing Address | 9654 BECKETT DR FRISCO, TX 750351043 US |
| Business Telephone | 2143923828 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3201 Lawrence Rd Ste 375 | Wichita Falls, TX 763081638 | 2143923828 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 38956
TX |
| 041146001441552 | OTHER | TX | DRIVERS LICENSE |