Healthcare Provider Details

I. General information

NPI: 1144133836
Provider Name (Legal Business Name): SARAH CHUNG DDS DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3356 W BALL RD STE 118
ANAHEIM CA
92804-3727
US

IV. Provider business mailing address

3356 W BALL RD STE 118
ANAHEIM CA
92804-3727
US

V. Phone/Fax

Practice location:
  • Phone: 510-775-5281
  • Fax:
Mailing address:
  • Phone: 510-775-5281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH SEUNG-AH CHUNG
Title or Position: PRESIDENT/ORTHODONTIST
Credential: DDS MSD
Phone: 510-775-5281