Provider Demographics
NPI:1285967216
Name:WAI LING DENTAL P.C.
Entity type:Organization
Organization Name:WAI LING DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAI-MING
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-966-9822
Mailing Address - Street 1:128 MOTT ST STE 707
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5587
Mailing Address - Country:US
Mailing Address - Phone:212-966-9822
Mailing Address - Fax:212-966-9829
Practice Address - Street 1:128 MOTT ST STE 707
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5587
Practice Address - Country:US
Practice Address - Phone:212-966-9822
Practice Address - Fax:212-966-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0495321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02299287Medicaid