Chuong, Robert

Chuong, Robert is an individual health care provider with primary practice located at 2140 16Th St N , St Petersburg FL 33704-3924. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Chuong, Robert can be contacted via phone (727) 894-1442.

Contact Information

Primary practice address
2140 16Th St N St Petersburg FL 33704-3924
Phone: (727) 894-1442
Fax: (727) 823-0466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN10893 Florida
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME0046866 Florida

Profile Details

NPI number 1558369678
LBN Legal business name Chuong, Robert
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 9th, 2011 - about 13 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 1558369678 NPPES
Florida MEDICAID 072216200
Florida Other 84866

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