Chung, David
Chung, David is an sole proprietor health care provider with primary practice located at 2357 Lemoine Ave , Fort Lee NJ 07024-6229. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Chung, David can be contacted via phone (201) 947-7100.Contact Information
Primary practice address
2357 Lemoine Ave
Fort Lee NJ 07024-6229
Phone: (201) 947-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 044016 | New York |
Profile Details
| NPI number | 1649357625 |
|---|---|
| LBN Legal business name | Chung, David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649357625 | NPPES |
| New York | MEDICAID | 02249585 |
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