Healthcare Provider Details

I. General information

NPI: 1114980414
Provider Name (Legal Business Name): DANNY CHIANG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 08/24/2023
Certification Date: 10/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 COUNTY ROAD 520
ENGLISHTOWN NJ
07726-8220
US

IV. Provider business mailing address

59 COUNTY ROAD 520
ENGLISHTOWN NJ
07726-8220
US

V. Phone/Fax

Practice location:
  • Phone: 732-972-2990
  • Fax:
Mailing address:
  • Phone: 732-972-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number022793
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: