Peter Sung Jong Chang, D.D.S.

General Practice Dentistry · Roselle, IL

Individual Active NPI

NPI number 1053320606

Practice location

603 E Irving Park Rd
Roselle, IL 60172-2302
Phone
(630) 893-4200
Fax
(630) 893-4508

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NPI record

NPI
1053320606
Entity type
Individual (Type 1)
Enumeration date
August 5, 2006
Last updated
September 24, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019022395 IL

About Dr. Chang

Peter Sung Jong Chang, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 603 E Irving Park Rd, Roselle, IL 60172-2302. The NPI number 1053320606 was assigned on August 5, 2006 and the record was last updated on September 24, 2008.

Dr. Chang lists a license in the registry: #019022395 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Sung Jong Chang, D.D.S.?

The NPI number is 1053320606.

What is the phone number of Dr. Chang?

The phone number listed for the practice location is (630) 893-4200.

Where is Dr. Chang located?

603 E Irving Park Rd, Roselle, IL 60172-2302.

What is the taxonomy code for Dr. Chang?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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