Chung, William

Chung, William is an individual health care provider with primary practice located at 3459 5Th Ave 202South, Pittsburgh PA 15213-3236. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Chung, William can be contacted via phone (412) 648-6080.

Contact Information

Primary practice address
3459 5Th Ave 202South Pittsburgh PA 15213-3236
Fax: (412) 648-6505
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS029690L Pennsylvania

Profile Details

NPI number 1295716322
LBN Legal business name Chung, William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 14th, 2012 - about 12 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 1295716322 NPPES
Pennsylvania MEDICAID 1947519

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