Charles Chang, DDS, Ms, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARLES CHANG, DDS, MS, PLLC

Doing business as

Snoqualmie Modern Dental Care

Practice address

7713 Center Blvd SE Ste 240
Snoqualmie, WA 98065-6319

Phone

(425) 577-7257

NPI assigned

Jul 11, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Chang, DDS

Title

Owner

Phone

(425) 577-7257

Specialties & licenses 1

Addresses

Other names 1

• Snoqualmie Modern Dental Care Doing business as

Locations

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316469323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 CENTER BLVD SE STE 240",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980656319",
            "telephone_number": "425-577-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7713 CENTER BLVD SE STE 240",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980656319",
            "telephone_number": "425-577-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CHANG, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-577-7257",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snoqualmie Modern Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Carragher, PT
• Heidi Carroll
• Carson B Calderwood DDS PLLC, Dba Snoqualmie Falls Dental
• Cascade Wellness & Counseling
• Maria Isabel Celestino Osorio
• Yen S Chen, MD
• Stephen Pearson Chick, M.A., LMHC
• Chiropractic Care at the Ridge P.S. Inc.
• Alan Richard Chock, MD
• Carlene Chung, RPH

• General Practice Dentistry in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.