Chang, Ricardo
Chang, Ricardo is an sole proprietor health care provider with primary practice located at 9646 Pines Blvd , Pembroke Pines FL 33024-6241. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Chang, Ricardo can be contacted via phone (954) 210-7994.Contact Information
Primary practice address
9646 Pines Blvd
Pembroke Pines FL 33024-6241
Phone: (954) 210-7994
Fax: (954) 210-7993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN16950 | Florida |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN16950 | Florida |
Profile Details
| NPI number | 1902059348 |
|---|---|
| LBN Legal business name | Chang, Ricardo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Nov 9th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902059348 | NPPES |
| Florida | MEDICAID | 016623600 |
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