Dr. Sung-Yu Wong, dds
Dentist, General Practice in Sacramento, CA. Individual provider (NPI-1).
NPI number1124147178
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124147178
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sung-Yu Wong
- Credential
- dds
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 45791 | CA | Yes |
Practice location
3945 Marysville Blvd Ste 1Sacramento, CA 95838-3711
Phone 916-646-4100
Mailing address
7853 Roesboro CirSacramento, CA 95828-6937
Phone 916-688-3679
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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