Chang, Andy Chi

Chang, Andy Chi is an sole proprietor health care provider with primary practice located at 2831 W 15Th St , Plano TX 75075-7527. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Chang, Andy Chi can be contacted via phone (469) 208-9800.

Contact Information

Primary practice address
2831 W 15Th St Plano TX 75075-7527
Fax: (469) 208-9800
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 18994 Texas

Profile Details

NPI number 1033133699
LBN Legal business name Chang, Andy Chi
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033133699 NPPES
Texas MEDICAID 179019801

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