JEANNIE CHUNG, DDS, MS, INC


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

JEANNIE CHUNG, DDS, MS, INC (NPI# 1457404592) 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) 1457404592
Entity Type Organization
Organization Name JEANNIE CHUNG, DDS, MS, INC
Other Organization Name RONALD K. FUJITAKI, DDS, MS
Practice Address 39055 Hastings St
Suite 104
Fremont
CA 94538-1518
Practice Telephone 5107949954
Practice Fax Number 5107941796
Enumeration Date 2007-01-20
Last Update Date 2011-12-14
Authorized Official Name JEANNIE CHUNG (PRESIDENT)
Authorized Official Telephone 5107949954
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223P0300X Dentist
Specialization: Periodontics
38284 CA Dental Providers
Y 1223P0300X Dentist
Specialization: Periodontics
37538 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Ronald K. Fujitaki, DDS, MS Other Name - Individual/Organization

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
1265701528 Jeannie Chung Dentist 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 2011-12-15
1578732582 Swapna Raveendranath Dentist 39055 Hastings St, Suite 203, Fremont, CA 94538-1518 2008-02-23
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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1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
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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
1265701528 Jeannie Chung Dentist 39055 Hastings St, Suite 104, Fremont, CA 94538-1518 2011-12-15
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
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

Improve Information

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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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