Active NPIIndividual providerSole proprietor

Dr. Kyung M Chung, DMD

Dentist, General Practice in Hanscom Afb, Massachusetts

NPI Number1053586339
Practice location
90 Vandenberg Drive, Hanscom Afb, MA 01731
Fax
—
Last updated
July 21, 2022

Kyung Min Chung is a Dentist, General Practice based in Hanscom Afb, MA. Kyung Min Chung practices in Hanscom Afb, MA and has the professional credentials of DMD. The NPI Number for Kyung Min Chung is 1053586339 and holds a License No. 22052 (MA). The current practice location address for Kyung Min Chung is 90 Vandenberg Drive, Hanscom Afb, MA 01731 and can be reached out via phone at 781-225-6324.

Provider Profile Details

NPI Number
1053586339
Provider Name
Kyung Min Chung
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
90 Vandenberg Drive, Hanscom Afb, MA 01731
Phone Number
781-225-6324
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
April 28, 2008
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Vandenberg Drive
Hanscom Afb, MA 01731
Zip
01731
Phone Number
781-225-6324
Hanscom Afb, MA 01731Get directions →

Provider Business Mailing Address Details

Address
90 Vandenberg Drive
Hanscom Afb, MA 01731
City
Hanscom Afb
State
MA
Zip
01731
Phone Number
781-225-6324

License Information

License Number
22052
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kyung M Chung, DMD?

The NPI number of Dr. Kyung M Chung, DMD is 1053586339. It was assigned on April 28, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Kyung M Chung, DMD?

Dr. Kyung M Chung, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22052.

Where does Dr. Kyung M Chung, DMD practice?

The practice location is 90 Vandenberg Drive, Hanscom Afb, MA 01731. The office can be reached at 781-225-6324 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053586339 directly on the NPPES registry website.

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