Chung, Kristy

Chung, Kristy is an individual health care provider with primary practice located at 860 E. Remington Dr. Suite A , Sunnyvale CA 94087. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Chung, Kristy can be contacted via phone (408) 675-1700.

Contact Information

Primary practice address
860 E. Remington Dr. Suite A Sunnyvale CA 94087
Fax: (408) 542-9797
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 20693 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 51563 California

Profile Details

NPI number 1285667972
LBN Legal business name Chung, Kristy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Sep 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285667972 NPPES
Massachusetts MEDICAID 0204358

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