Active NPIIndividual providerSole proprietor

Jieun Cha, DMD

Dentist in Medford, Massachusetts

NPI Number1073061743
Practice location
616 Fellsway, Medford, MA 02155-4959
Fax
—
Last updated
September 12, 2016

Jieun Cha is a Dentist based in Medford, MA. Jieun Cha practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Jieun Cha is 1073061743 and holds a License No. DN1857438 (MA). The current practice location address for Jieun Cha is 616 Fellsway, Medford, MA 02155-4959 and can be reached out via phone at 781-306-9644.

Provider Profile Details

NPI Number
1073061743
Provider Name
Jieun Cha
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
616 Fellsway, Medford, MA 02155-4959
Phone Number
781-306-9644
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2016
Last Update Date
September 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
616 Fellsway
Medford, MA 02155-4959
Zip
02155-4959
Phone Number
781-306-9644
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
616 Fellsway
Medford, MA 02155-4959
City
Medford
State
MA
Zip
02155-4959
Phone Number
781-306-9644

License Information

License Number
DN1857438
License State
MA
Taxonomy
Dentist · 122300000X · 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 Jieun Cha, DMD?

The NPI number of Jieun Cha, DMD is 1073061743. It was assigned on September 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Jieun Cha, DMD?

Jieun Cha, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1857438.

Where does Jieun Cha, DMD practice?

The practice location is 616 Fellsway, Medford, MA 02155-4959. The office can be reached at 781-306-9644 (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 1073061743 directly on the NPPES registry website.

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