Richard Chang in Bellevue - General Practice

Richard Chang - NPI 1710075213

Richard Chang is a General Practice in Bellevue, Washington. Richard Chang practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Chang is 1710075213. The last update date is 2007-07-08.

Richard Chang's current location address is 121 112th Ave Ne Ste D, Bellevue, Washington. You can contact this provider via phone number 4256888558 and fax number 4256888559. The mailing address for Richard Chang is 121 112th Ave Ne Ste D, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Chang
Address 121 112th Ave Ne Ste D, Bellevue, Washington
Phone Number 4256888558
Fax Number 4256888559
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1710075213
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 121 112th Ave Ne Ste D
City Bellevue
State Washington (WA)
Post Code 980045807
Phone Number 4256888558
Fax Number 4256888559

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00007717
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5024351 WA --

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FAQs about Richard Chang

What is the unique 10-digit identification code assigned to Richard Chang by the Centers for Medicare & Medicaid Services?

The Richard Chang has been issued the NPI (National Provider Identifier) 1710075213, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Richard Chang?

The Richard Chang is situated at 121 112Th Ave Ne Ste D, in the city of Bellevue, state of WA, with the zip code 980045807.

What is Richard Chang's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Chang's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Richard Chang receive its 1710075213 assignment from the Centers for Medicare & Medicaid Services?

The Richard Chang was assigned its 1710075213 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information pertaining to Richard Chang most recently updated or revised?

The details related to Richard Chang, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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