NPI 1649357625 · live from the CMS NPI Registry
David Chung, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Las Vegas, NV. National Provider Identifier 1649357625, active.
NPI record
| NPI | 1649357625 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1001 Shadow Ln # Ms 7422, Las Vegas, NV 89106 |
| Practice phone | 702-774-2538 |
| Mailing address | 9610 Deer Park Ave, Las Vegas, NV 89148 |
| Enumerated | November 1, 2006 |
| Last updated | November 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | S3-379C (NV) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 044016 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.