DR. JEEMIN CHANG DMD NPI 1114418571

NPI Information

NPI: 1114418571
Provider Name: DR. JEEMIN CHANG, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1775 GRAND CONCOURSE FL 6
BRONX, NY
ZIP 10453
Phone: (413) 736-0027
Get Directions

DR. Jeemin Chang, DMD is a pediatric dentistry dentist in Bronx, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Jeemin Chang, DMD NPI is 1114418571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1775 GRAND CONCOURSE FL 6
BRONX, NY
ZIP 10453-202
Phone: (413) 736-0027

The enumeration date for this NPI number is 5/22/2018 and was last updated on 6/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN1857923	MASSACHUSETTS	No
2	1223P0221X	Dentist	Pediatric Dentistry	13068	CONNECTICUT	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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