Thomas Y Chang is a Dentist in Brockton, Massachusetts. Thomas Y Chang practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Y Chang is 1548350549. The last update date is 2010-07-12.
Thomas Y Chang's current location address is 63 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085596699 and fax number 5085595073. The mailing address for Thomas Y Chang is 63 Main St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Y Chang |
|---|---|
| Address | 63 Main St, Brockton, Massachusetts |
| Phone Number | 5085596699 |
| Fax Number | 5085595073 |
| Sole Proprietor | N |
| Credentials | MDS |
NPI Number Detail
| NPI Number | 1548350549 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2010-07-12 |
Provider Mailing Address Detail
| Address | 63 Main St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014042 |
| Phone Number | 5085596699 |
| Fax Number | 5085595073 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 17581 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V05568 | MA | BLUE CROSS BLUE SHIELD |
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What is the Thomas Y Chang's 1548350549?
The Thomas Y Chang's NPI (National Provider Identifier) Number is 1548350549. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Thomas Y Chang's specialty and taxonomy code?
The Thomas Y Chang's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Thomas Y Chang's 1548350549 issued?
The Thomas Y Chang's 1548350549 was issued on 2006-10-13.
On what date did the Centers for Medicare & Medicaid Services issue the 1548350549 to Thomas Y Chang?
The Thomas Y Chang received its 1548350549 assignment from the Centers for Medicare & Medicaid Services on 2006-10-13.
When was the Thomas Y Chang's information last updated?
The Thomas Y Chang's information was last updated on 2010-07-12.