Chang, Michael W

Chang, Michael W is an sole proprietor health care provider with primary practice located at 14405 W Colfax Ave # 142 , Lakewood CO 80401-3247. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chang, Michael W can be contacted via phone (720) 325-5989.

Contact Information

Primary practice address
14405 W Colfax Ave # 142 Lakewood CO 80401-3247
Phone: (720) 325-5989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8912 Colorado
Dental Providers / General Practice 1223G0001X 22DI02267600 New Jersey
Dental Providers / General Practice 1223G0001X 051348 New York
Dental Providers / General Practice 1223G0001X 13993 Maryland
Dental Providers / General Practice 1223G0001X 0401412359 Virginia
Dental Providers / General Practice 1223G0001X DEN1000810 District of Columbia

Profile Details

NPI number 1215997218
LBN Legal business name Chang, Michael W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Nov 2nd, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215997218 NPPES
New York Other 02558294 NEW YORK MEDICAID
New York MEDICAID 74405519 NEW YORK MEDICAID

Popular Providers