Eddie Chang Dental Practice Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

46367 Issued in CA

Legal business name

EDDIE CHANG DENTAL PRACTICE INC

Practice address

166 W College St
Suite C
Covina, CA 91723-2047

Phone

(626) 331-0688

Fax

(626) 915-2213

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Chang, DDS

Title

Ceo

Phone

(949) 228-3517

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1376956201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W COLLEGE ST",
            "address_2": "SUITE C",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232047",
            "telephone_number": "626-331-0688",
            "fax_number": "626-915-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W COLLEGE ST",
            "address_2": "SUITE C",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232047",
            "telephone_number": "626-331-0688",
            "fax_number": "626-915-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE CHANG DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-228-3517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edward G. Stokes, MD, Inc

• Pediatric Dentistry in Covina, CA
• Providers in Covina, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.