DR. JEANNIE CHUNG


Address: 39055 Hastings St, Suite 104, Fremont, CA 94538-1518
Phone: 5107949954

DR. JEANNIE CHUNG (NPI# 1265701528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265701528
Entity Type Individual
Full Name DR. JEANNIE CHUNG
Credential DDS
Practice Address 39055 Hastings St
Suite 104
Fremont
CA 94538-1518
Practice Telephone 5107949954
Practice Fax Number 5107941796
Mailing Telephone 5107949954
Mailing Fax Number 5107941796
Enumeration Date 2011-12-15
Last Update Date 2011-12-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
37538 CA Dental Providers

Other Providers JEANNIE CHUNG

NPI Name Taxonomy Address Enumeration
1770610909 Jeannie Hye-joon Chung Otolaryngology 107 Highland Ave, Salem, MA 01970-2721 2007-02-27

Office Location

Street Address 39055 HASTINGS ST
SUITE 104
City FREMONT
State CA
Zip Code 94538-1518

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144296807 Insight Health Corp Physiological Laboratory 39055 Hastings St, Ste 106a, Fremont, CA 94538-1426 2006-02-23
1740648674 Swapna Raveendranath Dental Corporation Health Maintenance Organization 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 2016-02-06
1407250798 Connections A Counseling Center Psychologist 39055 Hastings St, Suite 106, Fremont, CA 94538-1518 2014-10-15
1245594449 Guardian Home Health Care & Hospice, Inc Hospice Care, Community Based 39055 Hastings St, Suite 202 B, Fremont, CA 94538-1518 2012-07-02
1578732582 Swapna Raveendranath Dentist 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 2008-02-23
1457404592 Jeannie Chung, Dds, Ms, Inc Dentist 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 2007-01-20
1780745000 Roland G. Chew Dentist 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 2006-12-12
1386608065 Mimi Chen Wun Lin Specialist 39055 Hastings St, 106a, Fremont, CA 94538-1518 2006-04-12

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1699394460 Bay Area Kidney Care Medical Group Inc. Clinic/Center 39370 Mozart Terrace Unit 106, Fremont, CA 94538 2020-04-13
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1093270688 Timothy Lorne Haynes Chiropractor 3775 Beacon Ave., Suite 200, Fremont, CA 94538 2019-02-07
1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
1780154302 Karla Patricia Plascencia Behavior Technician 39210 State Street Suite 220, Fremont, CA 94538 2018-11-27
1215407846 Sydney J Torrens Behavior Technician 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2018-11-27
1932676277 Jarah Harvan Psychologist 1999 Mowry Ave Ste F, Fremont, CA 94538 2018-10-24
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1912416199 Advanced Interventional Surgical Center Clinic/Center 3077 Stevenson Blvd, Fremont, CA 94538 2017-09-20
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992943716 Huei-ling Chang Dentist 4988 Pase Padre Parkway, #204, Fremont, CA 94555 2009-02-02
1356495063 Hwa-ying Wang Dentist 39201 State St Ste 215, Fremont, CA 94538-1437 2007-01-22
1770648842 Stephen E Cellier Dentist 325 S Park Ave, Fremont, OH 43420-2972 2006-12-27
1427061811 Alan M Lieberman Dentist 3805 Beacon Ave, Suite C, Fremont, CA 94538-1464 2006-08-15
1982633343 Hooshang Kashani Dentist 40803 Fremont Blvd, Fremont, CA 94538-4306 2006-06-30
1306129192 Ronald Fujitaki Dentist 3805 Beacon Ave, Ste C, Fremont, CA 94538-1464 2011-09-28
1376851014 Abida T Cheema Dentist 43625 Mission Blvd, #105 Aarish Dental, Fremont, CA 94539-5852 2010-09-15
1700030541 Alan M. Lieberman, D.d.s., Apc Dentist 3805 Beacon Ave, Suite C, Fremont, CA 94538-1464 2008-11-06
1457404592 Jeannie Chung, Dds, Ms, Inc Dentist 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 2007-01-20
1528156809 Sudabeh Z Moavenian Dentist 39340 Fremont Blvd, Fremont, CA 94538-1320 2006-10-11
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Competitor

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City FREMONT
Zip Code 94538

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Dataset Information

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.

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