Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BRIAN M. WOO, D.D.S., M.D., INC.
Active
Organization
BRIAN M. WOO, D.D.S., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL WOO D.D.S., M.D. (PRESIDENT/OWNER)
(559) 459-5120
Entity
Organization
Contact information
Practice address
290 NORTH WAYTE LANE, FRESNO, CA 93701-1324
(559) 459-5120
Mailing address
290 NORTH WAYTE LANE, FRESNO, CA 93701-1324
(559) 459-5120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50017
CA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
50017
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
50017
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A107428
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A107428
CA
2086S0127X
Trauma Surgery Physician
A107428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50017
DENTAL LICENSE
CA
01
—
A107428
MEDICAL LICENSE
CA
01
—
GA 1484
GENERAL ANESTHESIA LICENSE
CA
Enumeration date
05/11/2009
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up