OrganizationActive
Wong & Pham DDS, Inc.
NPI 1417128034 · General Practice Dentistry · Corona, CA
Wong & Pham DDS, Inc. is a General Practice Dentistry organization in Corona, CA (NPI 1417128034).
Provider details
- NPI number
- 1417128034
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Pauline Wong, President(951) 270-0211
- License
- 53643 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3811 Bedford Canyon Rd Ste 105
Corona, CA 92883-0789
Phone: (951) 270-0211
Fax: (951) 270-0702
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27250
Anaheim, CA 92809-0297
Other names (DBA / former)
- Doing business as
- Eagle Glen Dental Group
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2008-03-24
Frequently asked questions
- What is Wong & Pham DDS, Inc.'s NPI number?
- Wong & Pham DDS, Inc.'s National Provider Identifier (NPI) is 1417128034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wong & Pham DDS, Inc.?
- Wong & Pham DDS, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Wong & Pham DDS, Inc. located?
- Wong & Pham DDS, Inc.'s practice location on file with NPPES is 3811 Bedford Canyon Rd Ste 105, Corona, CA 92883-0789.
- What is Wong & Pham DDS, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Wong & Pham DDS, Inc. is (951) 270-0211.
- Who is the authorized official for Wong & Pham DDS, Inc.?
- The authorized official listed on Wong & Pham DDS, Inc.'s NPPES record is Pauline Wong, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wong & Pham DDS, Inc.'s NPI active?
- Yes — Wong & Pham DDS, Inc.'s NPI (1417128034) is active in the NPPES registry as of the last update on 2008-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.