Individual provider · Type 1 NPI

So Yeon Chung

General Practice Dentistry · Azle, TX

NPI number 1598043549 Active

Practice location

112 Industrial Ave
Azle, TX 76020

Call (817) 270-3700 Map

Mailing address

708 Glen Abbey Dr
Southlake, TX 76092-1378

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X29645 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1598043549

So Yeon Chung's National Provider Identifier is 1598043549, issued on Jul 25, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Azle, TX. The record was last updated on Oct 14, 2019.