Individual provider · Type 1 NPI

Ki Yoon Chung, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Philadelphia, PA

NPI number 1740760818 Active

Practice location

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943

Mailing address

1425 Locust St Unit 8B
Philadelphia, PA 19102-3834

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDS040680 (PA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1740760818

Ki Yoon Chung, DDS's National Provider Identifier is 1740760818, issued on Aug 17, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 17, 2018.