Dyeus M. Chung, D.D.S., M.S.

Periodontics · Boulder, CO

Individual Active NPI

NPI number 1174603963

Practice location

1840 Folsom St Ste 302
Boulder, CO 80302-5712
Phone
(303) 938-8300

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NPI record

NPI
1174603963
Entity type
Individual (Type 1)
Enumeration date
October 16, 2006
Last updated
September 18, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 13905 MD
Periodontics 1223P0300X DE00010389 WA
Periodontics 1223P0300X 2901018462 MI

About Dr. Chung

Dyeus M. Chung, D.D.S., M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 1840 Folsom St Ste 302, Boulder, CO 80302-5712. The NPI number 1174603963 was assigned on October 16, 2006 and the record was last updated on September 18, 2015.

Dr. Chung lists 3 licenses in the registry: #13905 (MD) for Periodontics; #DE00010389 (WA) for Periodontics; #2901018462 (MI) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dyeus M. Chung, D.D.S., M.S.?

The NPI number is 1174603963.

What is the phone number of Dr. Chung?

The phone number listed for the practice location is (303) 938-8300.

Where is Dr. Chung located?

1840 Folsom St Ste 302, Boulder, CO 80302-5712.

What is the taxonomy code for Dr. Chung?

The primary taxonomy code is 1223P0300X – Periodontics; 2 more listed above.

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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