# JONATHAN Z WANG DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JONATHAN Z WANG DDS PLLC
- **Other names:** North Carolina Premier Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538925060
- **Legal business name:** JONATHAN Z WANG DDS PLLC
- **Authorized official:** GLORIA BOHNE (DIRECTOR OF RCM)
- **Authorized official phone:** (919) 401-5560

## Contact information

- **Practice address:** 1622 E NC HIGHWAY 54, DURHAM, NC 27713-2100
- **Practice address phone:** (919) 401-5560
- **Mailing address:** 1622 E NC HIGHWAY 54, DURHAM, NC 27713-2100
- **Mailing address phone:** (919) 401-5560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 02/28/2024