Active NPI
Bright Jesuk Chang, DMD, MS
- Prosthodontics
- Portland, ME
National Provider Identifier
1255987780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN124028
- Practice address
- 131 Johnson Rd Ste 4
Portland, ME 04102-1988 - Phone
- (207) 775-6348
- NPI assigned
- Aug 12, 2019
- Last updated
- Feb 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D0006681-C1 | AL | |
| Prosthodontics | 1223P0700X | DN124028 | GA | Primary |
| Prosthodontics | 1223P0700X | DEN4942 | ME |
Addresses
Primary practice location
131 Johnson Rd Ste 4
Portland, ME 04102-1988
Mailing address
6320 Sugarloaf Pkwy
Duluth, GA 30097-4334
Phone (334) 207-2128
Other practice location 1
6320 Sugarloaf Pkwy
Duluth, GA 30097-4334
Phone (770) 381-9333
Other practice location 2
1919 7th Ave S
Birmingham, AL 35233-2005
Phone (205) 934-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0006681-C1 | AL | MD | General Practice Dentistry |
| DN124028 | GA | MD | Prosthodontist |
| DEN4942 | ME | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Past | Accepting new patients | |
| Ga Prostho LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Duluth, GA
- NPI 1942140074
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769904000000",
"number": "1255987780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 SUGARLOAF PKWY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974334",
"telephone_number": "334-207-2128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 JOHNSON RD STE 4",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021988",
"telephone_number": "207-775-6348"
}
],
"practiceLocations": [
{
"address_1": "6320 Sugarloaf Pkwy",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300974334",
"country_code": "US",
"telephone_number": "770-381-9333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 7th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352332005",
"country_code": "US",
"telephone_number": "205-934-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "BRIGHT",
"middle_name": "JESUK",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-12",
"last_updated": "2026-02-01",
"certification_date": "2026-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D0006681-C1",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DN124028",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "ME",
"license": "DEN4942",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.