Christopher Eric Chuong, D.M.D.

Individual provider Active NPI Pediatric Dentistry · Trinity, FL

NPI 1992017156 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1992017156
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
DN18989 (FL)
Practice address
8804 Hawbuck St
Trinity, FL 34655-5360
Phone
(727) 478-3210
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN18989FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher E. Chuong DMD, PLC Pediatric Dentistry Current
since Mar 29, 2020
Accepting new patients

Locations

8804 Hawbuck St
Trinity, FL 34655
Phone (727) 478-3210

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18989 FL
Pediatric Dentistry 1223P0221X DN18989 FL Yes

Addresses

Primary practice location

8804 Hawbuck St
Trinity, FL 34655-5360

Mailing address

8804 Hawbuck St
Trinity, FL 34655-5360
Phone (727) 478-3210

Other providers in Trinity, FL

All providers in Trinity, FL · Pediatric Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.