Chang, Brian Byung

Chang, Brian Byung is an individual health care provider with primary practice located at 1503 Dodona Ter Ste 105 , Leesburg VA 20175-4723. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chang, Brian Byung can be contacted via phone (855) 373-7688.

Contact Information

Primary practice address
1503 Dodona Ter Ste 105 Leesburg VA 20175-4723
Phone: (855) 373-7688
Fax: (202) 397-2104
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6025 Louisiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 13440 Maryland
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0438000313 Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DEN1001258 District of Columbia

Profile Details

NPI number 1457337982
LBN Legal business name Chang, Brian Byung
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated May 22nd, 2014 - about 10 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 1457337982 NPPES
Maryland MEDICAID 1457337982

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