Edwin Chung
General Practice Dentistry · Mountlake Terrace, WA
Practice location
6505 216TH St SW Ste 200Mountlake Terrace, WA 98043-6026
- Phone
- (855) 433-6825
NPI record
- NPI
- 1649256074
- Entity type
- Individual (Type 1)
- Enumeration date
- December 18, 2005
- Last updated
- October 27, 2020
- Certified
- October 27, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DE00009948 | WA |
Mailing address
6950 NE Campus WayHillsboro, OR 97124-5611
Other practice locations (2)
- 6101 200th St SW Ste 201, Lynnwood, WA 98036-6077 · (855) 433-6825
- 2111 N Northgate Way Ste 100, Seattle, WA 98133-9018 · (206) 367-6015
About Edwin Chung
Edwin Chung is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6505 216TH St SW Ste 200, Mountlake Terrace, WA 98043-6026. The NPI number 1649256074 was assigned on December 18, 2005 and the record was last updated on October 27, 2020.
Edwin Chung lists a license in the registry: #DE00009948 (WA) 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 Edwin Chung?
The NPI number is 1649256074.
What is the phone number of Edwin Chung?
The phone number listed for the practice location is (855) 433-6825.
Where is Edwin Chung located?
6505 216TH St SW Ste 200, Mountlake Terrace, WA 98043-6026.
What is the taxonomy code for Edwin Chung?
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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