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NPI Code Detail

MEDICARE: MISS CHIUNG FENG HSU DMD

MEDICARE:  MISS CHIUNG FENG  HSU  DMD
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
1122300000XDentistDS0000010001TN
21223G0001XGeneral Practice DentistryDN014461GA
31223G0001XGeneral Practice DentistryDS0000010001TN
4122300000XDentistDN014461GA

General Provider Information

NPI Number : 1578827531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHIUNG FENG HSU DMD
Provider Business Mailing Address
First Line : 175 SAMARITAN DR
Second Line :
City : JASPER
State : GA
Zip : 30143-1964
Country : US
Telephone Number : 706-253-4633
Fax Number :
Provider Business Practice Location Address
First Line : 175 SAMARITAN DR
Second Line :
City : JASPER
State : GA
Zip : 30143-1964
Country : US
Telephone Number : 706-253-4633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2012
Last Update Date : 07/22/2024

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Directions to “ MISS CHIUNG FENG HSU DMD” Practice Location

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