Healthcare Provider Details

I. General information

NPI: 1548159528
Provider Name (Legal Business Name): YOUNG RIM CHANG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date: 04/24/2026
Reactivation Date: 07/17/2026

III. Provider practice location address

8370 W COAL MINE AVE STE 106
LITTLETON CO
80123-4400
US

IV. Provider business mailing address

8370 W COAL MINE AVE STE 106
LITTLETON CO
80123-4400
US

V. Phone/Fax

Practice location:
  • Phone: 303-567-8177
  • Fax:
Mailing address:
  • Phone: 303-569-8177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number00206608
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: