Gene Chung, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122540 Issued in GA

Practice address

10475 Medlock Bridge Rd Ste 501
Johns Creek, GA 30097-4437

Phone

(678) 992-5235

NPI assigned

Oct 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental One Associates Harford County PC

  • Dentist
  • Abingdon, MD
  • NPI 1659495935
  NPD (past)
• Ekapoj Thongin III, DMD, PLLC

  • Dental Clinic/Center
  • Arlington, WA
  • NPI 1265828305
  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699747200000",
    "number": "1437601408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 REGAL FOREST DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 501",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974437",
            "telephone_number": "678-992-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Choudhry
• Christopher Dennis MD PLLC
• Suiza C. Chua, M.D.
• Meenakshi Chugh
• Michelle Chun
• Jane Chung, MD
• Rebecca C Ciccarelli, MS CCC/SLP
• Cimarron Physical Therapy Inc
• City Dental Clinic 247 LTD
• CKS Loving Care LLC

• General Practice Dentistry in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2023; 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.