Charles Chung is a Dentist in Marietta, Georgia. Charles Chung practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Chung is 1023279882. The last update date is 2010-07-19.
Charles Chung's current location address is 2860 Johnson Ferry Rd, Marietta, Georgia. You can contact this provider via phone number 7709985290 and fax number 7705524795. The mailing address for Charles Chung is 2860 Johnson Ferry Rd, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Chung |
|---|---|
| Address | 2860 Johnson Ferry Rd, Marietta, Georgia |
| Phone Number | 7709985290 |
| Fax Number | 7705524795 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1023279882 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2010-07-19 |
Provider Mailing Address Detail
| Address | 2860 Johnson Ferry Rd |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300628339 |
| Phone Number | 7709985290 |
| Fax Number | 7705524795 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN013756 |
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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 identification code assigned to Charles Chung by the Centers for Medicare & Medicaid Services?
The Charles Chung has been issued the NPI (National Provider Identifier) 1023279882, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles Chung is located?
The Charles Chung is situated at the following address: 2860 Johnson Ferry Rd, Marietta, GA, 300628339.
What is Charles Chung's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Chung's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023279882 to Charles Chung?
The Centers for Medicare & Medicaid Services originally issued the 1023279882 to Charles Chung on 2008-06-24.
As of what date were the details pertaining to Charles Chung last refreshed?
The information related to the Charles Chung, including its address, specialty, and other relevant details, was last updated on 2010-07-19.
NPI Number: 1932102142
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