Dennis William Chang
Individual provider Active NPI General Practice Dentistry · Washington Navy Yard, DC
NPI 1396265203 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1396265203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN1857726 (MA)
- Practice address
- 915 N St SE BLDG 175
Washington Navy Yard, DC 20374-5162 - Phone
- (202) 433-0813
- NPI assigned
- Jun 21, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857726 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DN1857726 | MA | Yes |
Addresses
Primary practice location
915 N St SE BLDG 175
Washington Navy Yard, DC 20374-5162
Mailing address
915 N St SE BLDG 175
Washington Navy Yard, DC 20374-5162
Other practice location 1
1st DEN BN/Naval Dental Center
Box 555221
Camp Pendleton, CA 92055-5221
Phone (760) 725-5102 ext. 5208
Other practice location 2
U.S. Naval Hospital
Via Contrada Boscariello
Gricignano di Aversa, CE 81030
IT
Phone (081) 811-6000
Other providers in Washington Navy Yard, DC
All providers in Washington Navy Yard, DC · General Practice Dentistry in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.