Deborah Chung, D.D.S., PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DEBORAH CHUNG, D.D.S., PLLC

Doing business as

Deborah Chung, D.D.S., PLLC

Practice address

5730 Union Mill Rd
Clifton, VA 20124-1088

Phone

(804) 517-8033

NPI assigned

Apr 15, 2024

Last updated

May 11, 2024By 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

Dr. Deborah Chung, DDSNPI 1316507601

Title

Owner

Phone

(703) 818-0007

Specialties & licenses 1

Addresses

Other names 1

• Deborah Chung, D.D.S., PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Heylim Chung, DDS

  • General Practice Dentistry
  • Clifton, VA
  • NPI 1316507601
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1487408670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 UNION MILL RD",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201241088",
            "telephone_number": "703-818-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 UNION MILL RD",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201241088",
            "telephone_number": "804-517-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH CHUNG, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-818-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deborah Chung, D.D.S., PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deborah Chung, D.D.S., PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clementine Twin Lakes, LLC
• Gale Otello Cleveland, L.C.S.W.
• Morgan Cripe
• Dancing Tree Physical Therapy and Wellness, LLC
• Dasion Corporation
• Jessica Dye, OD
• Kiersten Farrell, LPC, LSATP
• Kimberly Federico
• Footprints Behavior Services LLC
• Michele Renee Galindo

• Dental Clinic/Center in Clifton, VA
• Providers in Clifton, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.