MEDICARE: SAM CHONG, DDS, P.L.L.C.

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1316780877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAM CHONG, DDS, P.L.L.C.

Provider Business Mailing Address
First Line	:	3486 77TH AVE SE
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3444
Country	:	US
Telephone Number	:	206-370-9352
Fax Number	:

Provider Business Practice Location Address
First Line	:	16306 BOTHELL EVERETT HWY STE B
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-1283
Country	:	US
Telephone Number	:	425-745-4661
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAMUEL CHONG
Credential	:	DDS
Telephone Number	:	205-370-9352

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	06/13/2024

Similar Medicare Providers

1962405969 — DR. KIM A WALTER DDS
Practice Location Address:

16306 BOTHELL EVERETT HWY , STE 2
MILL CREEK, WA
98012-1283

Practice Phone: 425-745-4661
Practice Fax:

1205209913 — THE MILL CREEK DENTIST
Practice Location Address:

16306 BOTHELL EVERETT HWY , SUITE B
MILL CREEK, WA
98012-1283

Practice Phone: 425-745-4661
Practice Fax: 425-491-7077

1164989166 — NICOLE MALONEY
Practice Location Address:

10 COCKEYS MILL RD
REISTERSTOWN, MD
21136-1283

Practice Phone: 410-887-1114
Practice Fax:

1770737165 — PURTONE HEARING CENTERS LLC
Practice Location Address:

20350 N CAVE CREEK RD , SUITE 130
PHOENIX, AZ
85024-1283

Practice Phone: 602-971-3900
Practice Fax:

1447503628 — CALEYE CORPORATION
Practice Location Address:

4320 STEVENS CREEK BLVD STE 209
SAN JOSE, CA
95129-1283

Practice Phone: 408-318-5800
Practice Fax:

1033453964 — LILIAN GEORGI L.M.T
Practice Location Address:

2981 HIGHWAY 200
TROUT CREEK, MT
59874-1283

Practice Phone: 406-827-3005
Practice Fax:

Directions to “SAM CHONG, DDS, P.L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.