DR. SUNG E CHANG (NPI# 1528184207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528184207 |
| Entity Type | Individual |
| Full Name | DR. SUNG E CHANG |
| Credential | D.D.S. |
| Practice Address |
12000 Elm Creek Blvd N Suite #220 Maple Grove MN 55369-7073 |
| Mailing Address |
7962 Inland Ln N Maple Grove MN 55311-1799 |
| Practice Telephone | 7634204421 |
| Mailing Telephone | 7634204421 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D11341 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE DENTAL LICENSE | D11341 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316379787 | Sung Chang | Pharmacist | 9601 So. Tacoma Way, Suite 105, 106, Lakewood, WA 98499 | 2013-08-07 |
| 1699949156 | Sung Jin Chang | Dentist | 8610 Old Harford Rd, Parkville, MD 21234-3913 | 2008-04-16 |
| 1972710416 | Sung Whan Chang | Psychiatry & Neurology | 1517 Forbes Ave, Pittsburgh, PA 15219-5111 | 2007-05-16 |
| 1245388214 | Sung S. Chang | Family Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1285698738 | Sung Kyu Chang | Anesthesiology | 7351 Old Moon Rd, Columbus, GA 31909-7291 | 2006-04-13 |
| 1609853985 | Sung K Chang | Radiology | 2520 Elisha Ave, Zion, IL 60099-2676 | 2005-12-28 |
| Street Address |
12000 ELM CREEK BLVD N SUITE #220 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-7073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979489 | Christopher A. Carlson | Family Medicine | 12000 Elm Creek Blvd N, Suite 130, Maple Grove, MN 55369-7073 | 2005-08-18 |
| 1891295861 | Maple Grove Periodontics and Implant Dentistry | Dentist | 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 | 2018-02-16 |
| 1598111684 | Michael Lao | Counselor | 12000 Elm Creek Blvd N, L70, Maple Grove, MN 55369-7073 | 2016-05-09 |
| 1629410618 | Kimberly Anne Gustafson | Physical Therapist | 12000 Elm Creek Blvd N, Suite #120, Maple Grove, MN 55369-7073 | 2013-07-19 |
| 1487997037 | Kyrsten Ann Johnson | Pediatrics | 12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073 | 2013-04-02 |
| 1851662688 | Lee Medical Inc | Durable Medical Equipment & Medical Supplies | 12000 Elm Creek Blvd N, Suite 360, Maple Grove, MN 55369-7073 | 2012-01-25 |
| 1841523248 | Mcrh Alpha Medical, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-09-16 |
| 1396976437 | Great Planes Reproductive Center, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1649401688 | The Midwest C Enter for Reproductive Heatlh, P.a. | Obstetrics & Gynecology | 12000 Elm Creek Blvd N, Suite 350, Maple Grove, MN 55369-7073 | 2009-08-06 |
| 1184889073 | Jamie L Sledd | Clinic/Center | 12000 Elm Creek Blvd N, Suite 230, Maple Grove, MN 55369-7073 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1942793989 | Lyle Arrian Corpuz Carlos | Dentist | 12737 Elm Creek Blvd N, Maple Grove, MN 55369-7045 | 2018-06-13 |
| 1346770500 | Hyeok Je Lee | Dentist | 6240 Quinwood Ln N # 100, Maple Grove, MN 55369-6384 | 2017-06-19 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1326481284 | Grove Dentist Pa | Dentist | 13649 Grove Dr, Maple Grove, MN 55311-4405 | 2013-04-10 |
| 1619259181 | Cedar Island Dental | Dentist | 7378 Kirkwood Ct N, Maple Grove, MN 55369-5270 | 2011-09-12 |
| 1417240243 | Jennifer Marie Bertrand | Dentist | 7270 Forestview Ln N Ste 250, Maple Grove, MN 55369-5605 | 2011-05-26 |
| 1740508704 | Partners In Dentistry Ltd | Dentist | 17143 73rd Pl N, Maple Grove, MN 55311-2686 | 2010-05-13 |
| 1639337710 | Blue Ridge Dental Center Pa | Dentist | 13800 83rd Way N Ste 100, Maple Grove, MN 55369-7016 | 2008-05-27 |
| 1699977058 | Jodi Marie Burth | Dentist | 11256 86th Ave N, Maple Grove, MN 55369 | 2007-06-05 |
| 1124230800 | Matthew P Dale Dds Pa | Dentist | 13998 Maple Knoll Way # Ll103, Maple Grove, MN 55369-7004 | 2007-05-04 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on DR. SUNG E CHANG.
| 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.