Active NPIIndividual providerSole proprietor

Dr. Man Lee Chung, DDS

Dentist, Periodontics in Greenwich, Connecticut

NPI Number1750674420
Practice location
4 Dearfield Dr, Suite 201, Greenwich, CT 06831-5351
Fax
—
Last updated
May 27, 2011

Man Lee Chung is a Dentist, Periodontics based in Greenwich, CT. Man Lee Chung practices in Greenwich, CT and has the professional credentials of DDS. The NPI Number for Man Lee Chung is 1750674420 and holds a License No. 009008 (CT). The current practice location address for Man Lee Chung is 4 Dearfield Dr, Suite 201, Greenwich, CT 06831-5351 and can be reached out via phone at 203-661-3733.

Provider Profile Details

NPI Number
1750674420
Provider Name
Man Lee Chung
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4 Dearfield Dr, Suite 201, Greenwich, CT 06831-5351
Phone Number
203-661-3733
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Other Names
Dr. Robert Chung, DDS (Professional Name)
Provider Enumeration Date
May 27, 2011
Last Update Date
May 27, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Dearfield Dr
Suite 201
Greenwich, CT 06831-5351
Zip
06831-5351
Phone Number
203-661-3733
Greenwich, CT 06831Get directions →

Provider Business Mailing Address Details

Address
4 Dearfield Dr
Suite 201
Greenwich, CT 06831-5351
City
Greenwich
State
CT
Zip
06831-5351
Phone Number
203-661-3733

License Information

License Number
009008
License State
CT
Taxonomy
Dentist, Periodontics · 1223P0300X · 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. Man Lee Chung, DDS?

The NPI number of Dr. Man Lee Chung, DDS is 1750674420. It was assigned on May 27, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Man Lee Chung, DDS?

Dr. Man Lee Chung, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in CT under license number 009008.

Where does Dr. Man Lee Chung, DDS practice?

The practice location is 4 Dearfield Dr, Suite 201, Greenwich, CT 06831-5351. The office can be reached at 203-661-3733 (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 1750674420 directly on the NPPES registry website.

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