Active NPIIndividual provider

Thomas Y Chang, MDS

Dentist in Brockton, Massachusetts

NPI Number1548350549
Practice location
63 Main St, Brockton, MA 02301-4042
Fax
508-930-5073
Last updated
July 12, 2010

Thomas Y Chang is a Dentist based in Brockton, MA. Thomas Y Chang practices in Brockton, MA and has the professional credentials of MDS. The NPI Number for Thomas Y Chang is 1548350549 and holds a License No. 17581 (MA). The current practice location address for Thomas Y Chang is 63 Main St, Brockton, MA 02301-4042 and can be reached out via phone at 508-559-6699 and via fax at 508-930-5073.

Provider Profile Details

NPI Number
1548350549
Provider Name
Thomas Y Chang
Credential
MDS
Provider Entity Type
Individual
Gender
Male
Address
63 Main St, Brockton, MA 02301-4042
Phone Number
508-559-6699
Fax Number
508-930-5073
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 13, 2006
Last Update Date
July 12, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Main St
Brockton, MA 02301-4042
Zip
02301-4042
Phone Number
508-559-6699
Fax Number
508-930-5073
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
63 Main St
Brockton, MA 02301-4042
City
Brockton
State
MA
Zip
02301-4042
Phone Number
508-559-6699
Fax Number
508-559-5073

License Information

License Number
17581
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 Thomas Y Chang, MDS?

The NPI number of Thomas Y Chang, MDS is 1548350549. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Thomas Y Chang, MDS?

Thomas Y Chang, MDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 17581.

Where does Thomas Y Chang, MDS practice?

The practice location is 63 Main St, Brockton, MA 02301-4042. The office can be reached at 508-559-6699 (phone) or 508-930-5073 (fax).

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 1548350549 directly on the NPPES registry website.

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