CHANGDDS, P.C. (NPI# 1184954166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184954166 |
| Entity Type | Organization |
| Organization Name | CHANGDDS, P.C. |
| Practice Address |
1472 Baldwin Ave Pontiac MI 48340-1102 |
| Practice Telephone | 2483322448 |
| Practice Fax Number | 2483327401 |
| Mailing Telephone | 2483322448 |
| Mailing Fax Number | 2483327401 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | DR. JAMES W CHANG (PRESIDENT) |
| Authorized Official Telephone | 2483322448 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 124059338 | 05 |
| Street Address |
1472 BALDWIN AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841335221 | James W Chang | Dentist | 1472 Baldwin Ave, Pontiac, MI 48340-1102 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1639519291 | A1 Family Dentistry of Pontiac,plc | Dentist | 1018 Joslyn Ave, Pontiac, MI 48340-2929 | 2013-06-27 |
| 1487941506 | Sabrina Rita Shaouni | Dentist | 1620 N Perry St, Suite 1, Pontiac, MI 48340-3310 | 2011-07-10 |
| 1548561624 | Ryan Jason Carley | Dentist | 1521 W Reynolds St, Pontiac, IL 61764-9673 | 2010-11-05 |
| 1841335221 | James W Chang | Dentist | 1472 Baldwin Ave, Pontiac, MI 48340-1102 | 2007-02-21 |
| 1396812269 | Siran Salah Raouf | Dentist | 775 Baldwin Ave, Suite C, Pontiac, MI 48340-2576 | 2006-11-29 |
| 1386714632 | Rita Rapheal Marroghi | Dentist | 683 W Huron St, Pontiac, MI 48341-1522 | 2006-11-08 |
| 1528138492 | Maha Karmo | Dentist | 667 N Martin Luther King Blvd, Pontiac, MI 48342 | 2006-11-08 |
| 1174693048 | Nezih Meikha Jajou Bachuri | Dentist | 667 N Martin Luther King Blvd., Pontiac, MI 48342 | 2006-11-08 |
| 1164502886 | Terrence Wayne Haynes | Dentist | 861 Joslyn, Pontiac, MI 48340-2919 | 2006-10-17 |
| Find all providers in PONTIAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.