NPI Code Details Logo

NPI 1447108709

NPI 1447108709 : JIN N CHANG DMD PLLC : MARYSVILLE, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447108709
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JIN N CHANG DMD PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/20/2026
-----------------------------------------------------
    Last Update Date     |    03/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2704 171ST PL NE # L-101 
-----------------------------------------------------
    City                 |    MARYSVILLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98271-4738
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-652-1400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2704 171ST PL NE # L-101 
-----------------------------------------------------
    City                 |    MARYSVILLE
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98271-4738
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    360-652-1400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ DENTIST
-----------------------------------------------------
    Name                 |     JIN N CHANG 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    360-652-1400
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.