Chung, Terrence C

Chung, Terrence C is an individual health care provider with primary practice located at 63 Graham Rd Ste 3 , Cuyahoga Falls OH 44223. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Chung, Terrence C can be contacted via phone (330) 920-8060.

Contact Information

Primary practice address
63 Graham Rd Ste 3 Cuyahoga Falls OH 44223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30020785 Ohio

Profile Details

NPI number 1063527943
LBN Legal business name Chung, Terrence C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063527943 NPPES
Ohio MEDICAID 2218102

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