Organization · Type 2 NPI

Chang & Phan Dental, LLC

Pediatric Dentistry · Rockville, MD

NPI number 1083192884 Active

Practice location

451 Hungerford Dr Ste 100
Rockville, MD 20850-5102

Call (240) 381-7814 Map

Mailing address

3517 Doc Berlin Dr
Silver Spring, MD 20906-1151

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	14020 (MD)

Pediatric Dentistry: 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.

Other pediatric dentistry providers in Rockville

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NPI record

NPI: 1083192884
Entity type: Organization (Type 2)
Issued: Aug 2, 2018
Last updated: Aug 2, 2018
Status: Active

Other names

<unavail>
All Star Pediatric Dentistry · doing business as
All Star Pediatric Dentistry · doing business as

Authorized official

Dr. Carolyn Soojin Chang, DMD
Managing Member
(240) 381-7814

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083192884

Chang & Phan Dental, LLC's National Provider Identifier is 1083192884, issued on Aug 2, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rockville, MD. The record was last updated on Aug 2, 2018.