Provider Demographics
NPI:1306943428
Name:HING, MICHAEL WESLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WESLEY
Last Name:HING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1804
Mailing Address - Country:US
Mailing Address - Phone:415-665-0272
Mailing Address - Fax:415-665-0219
Practice Address - Street 1:2299 19TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1804
Practice Address - Country:US
Practice Address - Phone:415-665-0272
Practice Address - Fax:415-665-0219
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA395311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice