IndividualActive
Marissa Wang, DMD
NPI 1073193348 · General Practice Dentistry · San Rafael, CA
Marissa Wang, DMD is a General Practice Dentistry provider in San Rafael, CA (NPI 1073193348).
Provider details
- NPI number
- 1073193348
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 105449 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3110 Kerner Blvd
San Rafael, CA 94901-5411
Phone: (626) 297-0068
Street-level locationGet directions
Mailing address
11911 Lambert Ave
El Monte, CA 91732-2031
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Frequently asked questions
- What is Marissa Wang's NPI number?
- Marissa Wang's National Provider Identifier (NPI) is 1073193348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Wang's specialty?
- Marissa Wang is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Marissa Wang located?
- Marissa Wang's practice location on file with NPPES is 3110 Kerner Blvd, San Rafael, CA 94901-5411.
- What is Marissa Wang's phone number?
- The practice phone number listed in the NPPES registry for Marissa Wang is (626) 297-0068.
- Is Marissa Wang's NPI active?
- Yes — Marissa Wang's NPI (1073193348) is active in the NPPES registry as of the last update on 2021-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.