MICHAEL J.C. CHANG, DMD, INC. (NPI# 1194921916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194921916 |
| Entity Type | Organization |
| Organization Name | MICHAEL J.C. CHANG, DMD, INC. |
| Other Organization Name | FRUITFUL SMILE FAMILY DENTAL |
| Practice Address |
7011 Orangethorpe Ave. #100 Buena Park CA 90621 |
| Practice Telephone | 7149944482 |
| Practice Fax Number | 7149943995 |
| Mailing Telephone | 7149944482 |
| Mailing Fax Number | 7149943995 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | DR. MICHAEL JUNG-CHAN CHANG (PRESIDENT) |
| Authorized Official Telephone | 7149944482 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39244 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Fruitful Smile Family Dental | Doing Business As Name - Organization |
| Street Address |
7011 ORANGETHORPE AVE. #100 |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881180545 | Jeyanthi Bhaheetharan | Dentist | 6131 Orangethorpe Ave Ste 405, Buena Park, CA 90620-4902 | 2018-07-06 |
| 1184110140 | Heungki Min | Dentist | 5881 Beach Blvd, Buena Park, CA 90621-2021 | 2018-07-02 |
| 1487025912 | Bryan Nguyen | Dentist | 6192 San Ramon Way, Buena Park, CA 90620-2838 | 2015-10-09 |
| 1699108399 | Michael B Han | Dentist | 5258 Beach Blvd, Suite A, Buena Park, CA 90621 | 2013-08-16 |
| 1215231212 | Hernan E Lucar | Dentist | 7921 Delphinium Cir, Buena Park, CA 90620-1902 | 2011-01-05 |
| 1922310267 | Sonia G Canton Moran | Dentist | 8682 Beach Blvd, Suite # 102, Buena Park, CA 90620-4808 | 2010-07-01 |
| 1417278938 | Chan Sik Youn | Dentist | 5781 Kingman Ave Apt 2, Buena Park, CA 90621-2078 | 2010-06-18 |
| 1225365588 | Claire Lee | Dentist | 52 Frances Cir, Buena Park, CA 90621-5001 | 2009-11-06 |
| 1477798528 | Ma May Thet Naing, Dds., Inc | Dentist | 6850 Lincoln Ave Ste 100, Buena Park, CA 90620-4146 | 2008-12-03 |
| 1548463672 | Sooji Hong Lee | Dentist | 6225 Villa Linda Ct, Buena Park, CA 90620-4721 | 2007-06-06 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.