Provider Demographics
NPI:1124572912
Name:LEUNG, WING YIN MAGGIE (DDS)
Entity type:Individual
Prefix:DR
First Name:WING YIN MAGGIE
Middle Name:
Last Name:LEUNG
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MAIN STREET
Mailing Address - Street 2:UNITS 109-110
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644
Mailing Address - Country:US
Mailing Address - Phone:201-397-1420
Mailing Address - Fax:201-957-0766
Practice Address - Street 1:170 MAIN STREET
Practice Address - Street 2:UNITS 109-110
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644
Practice Address - Country:US
Practice Address - Phone:201-397-1420
Practice Address - Fax:201-957-0766
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI027732041223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty