JULIET CHANG DMD MSD NPI 1629527593

NPI Information

NPI: 1629527593
Provider Name: JULIET CHANG, DMD, MSD
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
3801 LAS POSAS RD STE 205
CAMARILLO, CA
ZIP 93010
Phone: (805) 388-1730
Get Directions

Juliet Chang, DMD, MSD is a periodontics dentist in Camarillo, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Juliet Chang, DMD, MSD NPI is 1629527593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 LAS POSAS RD STE 205
CAMARILLO, CA
ZIP 93010-426
Phone: (805) 388-1730

The NPI 1629527593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/3/2016 and was last updated on 4/5/2022.

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	1223P0300X	Dentist	Periodontics	11248	TENNESSEE	No
2	1223P0300X	Dentist	Periodontics	107235	CALIFORNIA	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: 4/28/2024

NPI Synchronization or Removal

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