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
Phone: (408) 675-1700
Fax: (408) 542-9797
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285667972 | NPPES |
| Massachusetts | MEDICAID | 0204358 |
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