Jeffrey Chai Chang, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

17324 Issued in TX

Practice address

38TH Street, BLDG 38717
USA Dentac
Ft Gordon, GA 30905-5660

Phone

(706) 787-6927

Fax

(706) 787-2081

NPI assigned

Apr 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Chai NMN Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003036286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38TH STREET, BLDG 38717",
            "address_2": "USA DENTAC",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055660",
            "telephone_number": "706-787-6927",
            "fax_number": "706-787-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38TH STREET, BLDG 38717",
            "address_2": "USA DENTAC",
            "city": "FT GORDON",
            "state": "GA",
            "postal_code": "309055660",
            "telephone_number": "706-787-6927",
            "fax_number": "706-787-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JEFFREY",
        "middle_name": "CHAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17324",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "17324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAI",
            "last_name": "CHANG",
            "middle_name": "NMN",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelley Nicole Carter, LCSW
• Steven Harlan Case II, MD
• Gail Casley-Sawyer, PMHNP-BC
• Julianne Marie Ceruti, AU.D., PH.D, F-AAA
• Nils Bethel Chandler, LPC
• Michael Eugenio Chew, DMD
• David Richard Chow, MD
• Justin Chow, DMD
• Jackie Nancy Chung
• Joseph Daniel Ciuzio, CRNA

• Prosthodontics in Ft Gordon, GA
• Providers in Ft Gordon, GA by specialty
• Prosthodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.