Active NPIIndividual providerSole proprietor

Dr. Michael J Chung, DDS

Dentist in Chicopee, Massachusetts

NPI Number1962623512
Practice location
2255 Westover RD, Chicopee, MA 01022-1060
Fax
—
Last updated
June 14, 2023

Michael Jongchil Chung is a Dentist based in Chicopee, MA. Michael Jongchil Chung practices in Chicopee, MA and has the professional credentials of DDS. The NPI Number for Michael Jongchil Chung is 1962623512 and holds a License No. Den3118 (RI). The current practice location address for Michael Jongchil Chung is 2255 Westover RD, Chicopee, MA 01022-1060 and can be reached out via phone at 413-557-1110.

Provider Profile Details

NPI Number
1962623512
Provider Name
Michael Jongchil Chung
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2255 Westover RD, Chicopee, MA 01022-1060
Phone Number
413-557-1110
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 1, 2007
Last Update Date
June 14, 2023
Certification Date
June 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2255 Westover RD
Chicopee, MA 01022-1060
Zip
01022-1060
Phone Number
413-557-1110
Chicopee, MA 01022Get directions →

Provider Business Mailing Address Details

Address
1061 Fish RD
Tiverton, RI 02878-3103
City
Tiverton
State
RI
Zip
02878-3103
Phone Number
401-624-6674

License Information

License Number
Den3118
License State
RI
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 Dr. Michael J Chung, DDS?

The NPI number of Dr. Michael J Chung, DDS is 1962623512. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Chung, DDS?

Dr. Michael J Chung, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in RI under license number Den3118.

Where does Dr. Michael J Chung, DDS practice?

The practice location is 2255 Westover RD, Chicopee, MA 01022-1060. The office can be reached at 413-557-1110 (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 1962623512 directly on the NPPES registry website.

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