Individual provider · Type 1 NPI

Jeannie Chung, DDS

Periodontics · Fremont, CA

NPI number 1265701528 Active

Practice location

39055 Hastings St, Suite 104
Fremont, CA 94538-1518

Call (510) 794-9954 Map

Fax (510) 794-1796

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X37538 (CA)

Periodontics: 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.

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About NPI 1265701528

Jeannie Chung, DDS's National Provider Identifier is 1265701528, issued on Dec 15, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fremont, CA. The record was last updated on Dec 15, 2011.