Provider Demographics
NPI:1730230541
Name:WANG, STEVE GEE-FONG (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:GEE-FONG
Last Name:WANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 AVE K S.E.
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3045
Mailing Address - Country:US
Mailing Address - Phone:863-875-4395
Mailing Address - Fax:954-452-1895
Practice Address - Street 1:575 AVENUE K SE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-4215
Practice Address - Country:US
Practice Address - Phone:863-875-4395
Practice Address - Fax:954-452-1895
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL143931223G0001X
FLDN 00143931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice