JEANNIE CHUNG DDS MS INC NPI 1457404592

NPI Information

  • NPI: 1457404592
  • Provider Name: JEANNIE CHUNG, DDS, MS, INC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Other Name: RONALD K. FUJITAKI, DDS, MS
  • Address: 39055 HASTINGS ST
    SUITE 104
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 794-9954

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NPI Details

JEANNIE CHUNG, DDS, MS, INC is a periodontics dentist in Fremont, 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. JEANNIE CHUNG, DDS, MS, INC NPI is 1457404592. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Ronald K. Fujitaki, Dds, Ms.

The provider's business location address is:

39055 HASTINGS ST
SUITE 104
FREMONT, CA
ZIP 94538-518
Phone: (510) 794-9954
Fax: (510) 794-1796

The provider's authorized official is Jeannie Chung .
The authorized official title is President and has the following contact phone number (510) 794-9954.

The enumeration date for this NPI number is 1/20/2007 and was last updated on 12/14/2011.

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
11223P0300XDentistPeriodontics38284CALIFORNIANo
21223P0300XDentistPeriodontics37538CALIFORNIAYes

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: 3/30/2025

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