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NPI Code Detail

MEDICARE: DR. MICHAEL K CHANG DDS

MEDICARE: DR. MICHAEL K CHANG DDS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry54976CA

General Provider Information

NPI Number : 1639304280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL K CHANG DDS
Provider Business Mailing Address
First Line : 10 EL CAMINO REAL STE 201
Second Line :
City : SAN CARLOS
State : CA
Zip : 94070-2451
Country : US
Telephone Number : 650-598-0888
Fax Number :
Provider Business Practice Location Address
First Line : 10 EL CAMINO REAL STE 201
Second Line :
City : SAN CARLOS
State : CA
Zip : 94070-2451
Country : US
Telephone Number : 650-598-0888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2009
Last Update Date : 03/07/2024

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Directions to “ DR. MICHAEL K CHANG DDS” Practice Location

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