Jim S Chang Dds Inc in San Diego - Dentist
Jim S Chang Dds Inc - NPI 1306953690
Jim S Chang Dds Inc is a Dentist in San Diego, California. Jim S Chang Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jim S Chang Dds Inc is 1306953690. The last update date is 2020-08-22.
Jim S Chang Dds Inc's current location address is 12798 Ranch Penasquitos Blvd, San Diego, California. You can contact this provider via phone number 8584849776 and fax number 8584840721. The mailing address for Jim S Chang Dds Inc is 12798 Ranch Penasquitos Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jim S Chang Dds Inc |
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Address | 12798 Ranch Penasquitos Blvd, San Diego, California |
Phone Number | 8584849776 |
Fax Number | 8584840721 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Chang S Jim |
Credentials | DDS |
Telephone Number | 8584849776 |
NPI Number Detail
NPI Number | 1306953690 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 12798 Ranch Penasquitos Blvd |
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City | San Diego |
State | California (CA) |
Post Code | 92129 |
Phone Number | 8584849776 |
Fax Number | 8584840721 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 34942 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Jim S Chang Dds Inc by the Centers for Medicare & Medicaid Services?
The Jim S Chang Dds Inc has been assigned the NPI (National Provider Identifier) 1306953690 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jim S Chang Dds Inc's facilities are geographically located?
The facilities of Jim S Chang Dds Inc are physically situated at the following location: 12798 Ranch Penasquitos Blvd, San Diego, CA, 92129.
What is Jim S Chang Dds Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jim S Chang Dds Inc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When did the Jim S Chang Dds Inc receive its 1306953690?
The Jim S Chang Dds Inc was issued its 1306953690 on 2006-08-24, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jim S Chang Dds Inc most recently updated or revised?
The information pertaining to Jim S Chang Dds Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.