Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Wong, DMD, MMSC

Individual provider Periodontics · NPI 1962616235

Jacqueline Wong, DMD, MMSC is a Periodontics in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1998 Broadway Apt 1207
San Francisco, CA 94109-2281
Phone: (415) 317-6430
Fax: (415) 346-8698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 53490 (CA)

Record details

NPI number1962616235
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD , MMSC
Sole proprietorYes
NPI enumeratedMay 9, 2007
Last updated in NPPESJuly 8, 2007

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