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Dr. Michael William Wong, DMD
Pediatric Dentist in Belleville, Illinois
NPI 1902223548

Michael William Wong is a Pediatric Dentist based in Belleville, IL and is specialized in Pediatric Dentistry. Michael William Wong practices in Belleville, IL and has the professional credentials of DMD. The NPI Number for Michael William Wong is 1902223548 and holds a License No. 019029087 (Illinois).

The current practice location address for Michael William Wong is 3540 N Belt W, Belleville, IL and can be reached out via phone at 618-233-8667 and via fax at 618-233-8715.

Location: 3540 N Belt W, Belleville, IL, 62226-5975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902223548
Provider Name
Michael William Wong
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3540 N Belt W, Belleville, IL, 62226-5975
Phone Number
618-233-8667
Fax Number
618-233-8715
Provider Enumeration Date
03/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3540 N Belt W
City
Belleville
State
Illinois
Zip
62226-5975
Phone Number
618-233-8667
Fax Number
618-233-8715
person
Provider Business Mailing Address Details
Address
3540 N Belt W
City
Belleville
State
Illinois
Zip
62226-5975
Phone Number
618-233-8667
Fax Number
618-233-8715
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019029087 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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