Chang, Patrick John Kong

Chang, Patrick John Kong is an individual health care provider with primary practice located at 1700 Lanakila Ave 203, Honolulu HI 96817-2115. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Chang, Patrick John Kong can be contacted via phone (808) 832-5710.

Contact Information

Primary practice address
1700 Lanakila Ave 203 Honolulu HI 96817-2115
Phone: (808) 832-5710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DT 1701 Hawaii

Profile Details

NPI number 1659379311
LBN Legal business name Chang, Patrick John Kong
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 9th, 2007 - about 17 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 1659379311 NPPES
Hawaii MEDICAID 070300-01

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