MEDICARE: DAVID CHONG DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1164361887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID CHONG DDS PLLC

Provider Business Mailing Address
First Line	:	1000 UNION AVE SE STE 101
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-1589
Country	:	US
Telephone Number	:	206-930-9681
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 UNION AVE SE STE 101
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-1589
Country	:	US
Telephone Number	:	206-930-9681
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. DAVID ZHIWEI CHONG
Credential	:	DDS
Telephone Number	:	206-930-9681

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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