Jack Koji Chung, DDS
General Practice Dentistry · Travis Afb, CA
Practice location
60 MDG/SGDD101 Bodin Circle
Travis Afb, CA 94535-1800
- Phone
- (707) 423-7000
NPI record
- NPI
- 1780665638
- Entity type
- Individual (Type 1)
- Enumeration date
- November 8, 2005
- Last updated
- August 12, 2025
- Certified
- August 7, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019026052 | IL |
About Dr. Chung
Jack Koji Chung, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 60 MDG/SGDD, 101 Bodin Circle, Travis Afb, CA 94535-1800. The NPI number 1780665638 was assigned on November 8, 2005 and the record was last updated on August 12, 2025.
Dr. Chung lists a license in the registry: #019026052 (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 Jack Koji Chung, DDS?
The NPI number is 1780665638.
What is the phone number of Dr. Chung?
The phone number listed for the practice location is (707) 423-7000.
Where is Dr. Chung located?
60 MDG/SGDD, 101 Bodin Circle, Travis Afb, CA 94535-1800.
What is the taxonomy code for Dr. 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.
Other General Practice Dentistry providers in Travis Afb
- Catherine Celine Branstetter101 Bodin Cir
- Edward Francis Mitnitsky, DDS101 Bodin Cir
- Brian David Lunt, DDS101 Bodin Cir
- Dentrust, P.C.461 Skymaster Cir Bldg 648
- Austin Douglas Wood, DDS60 MDG/SGDD
- Son Xuan Vu, DDS60 MDG/SGDD
- Patrick B. Parsons, DDS101 Bodin Cir
- Dean Arthur Pfirrman, D.D.S.151 Bodin Cir
- Dennis William Kelly Jr., D.D.S., M.S.101 Bodin Cir
- Jason T. Blackham, DMD60 MDG/Sgic
- Vincent Chung-Hon Hu, D.D.S.101 Bodin Cir
- Andrew W. Ellis, D.M.D.101 Bodin Cir
All General Practice Dentistry providers in Travis Afb, CA →