SO YEON CHUNG (NPI# 1598043549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598043549 |
| Entity Type | Individual |
| Full Name | SO YEON CHUNG |
| Practice Address |
112 Industrial Ave Azle TX 76020 |
| Mailing Address |
708 Glen Abbey Dr Southlake TX 76092-1378 |
| Practice Telephone | 8172703700 |
| Mailing Telephone | 3478995601 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
29645 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225423254 | So Chung | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2015-04-06 |
| Street Address |
112 INDUSTRIAL AVE |
| City | AZLE |
| State | TX |
| Zip Code | 76020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538264247 | Tran Bao Dang | Dentist | 112 Industrial Ave, Azle, TX 76020-2934 | 2006-09-14 |
| 1073155784 | Shiny Studio Pllc | Clinic/Center | 112 Industrial Ave, Azle, TX 76020-2934 | 2019-10-14 |
| 1477758233 | Forever Teeth P.l.l.c. | Dentist | 112 Industrial Ave, Azle, TX 76020-2934 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1992112650 | Euverse Neuromonitoring LLC | Neurological Surgery | 1244 Boling Ranch Road N, Azle, TX 76020 | 2014-07-15 |
| 1124378351 | Kathleen C. Anderson | Speech-Language Pathologist | 15873 Flying Jib Dr., Azle, TX 76020 | 2012-09-14 |
| 1386886703 | Janie Darlene Holder | Specialist/Technologist, Other | 10934 Power Squadron Rd., Azle, TX 76020 | 2009-03-31 |
| 1245442367 | Joseph S Mccreary | Dentist | 209 Roe St, Azle, TX 76020 | 2007-05-03 |
| 1659491207 | Phyllis Ann Nelson | Dietitian, Registered | 108 Denver Trail, Harris Methodist Northwest Hospital, Azle, TX 76020 | 2007-03-29 |
| 1548386824 | Terry L Moore | Dentist | 500 Boyd Court, Colleyville, TX 76020 | 2007-03-21 |
| 1437177862 | James Lee Masson | Chiropractor | 1025 Southeast Parkway, Azle, TX 76020 | 2006-07-17 |
| 1982609269 | Azle Manor Health Care, L.l.l.p. | Skilled Nursing Facility | 721 Dunaway Ln, Azle, TX 76020 | 2005-06-14 |
| 1154801165 | Shayna Colleen Lacy | Occupational Therapist | 721 Dunaway Ln, Azle, TX 76020 | 2018-08-19 |
| Find all providers in zip 76020 | ||||
| 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 |
|---|---|---|---|---|
| 1306447537 | Azle Cube Smiles Pllc | Dentist | 100 Park Plc Ste 224, Azle, TX 76020 | 2020-11-04 |
| 1164822896 | John Edward Hoover | Dentist | 405 Inwood Rd, Azle, TX 76020-4825 | 2014-08-29 |
| 1558642819 | Nathaniel Lin Bemis | Dentist | 2210 Reese Ln, Azle, TX 76020-1528 | 2011-08-31 |
| 1245442367 | Joseph S Mccreary | Dentist | 209 Roe St, Azle, TX 76020 | 2007-05-03 |
| 1154452639 | Michelle Trunk Jacobs | Dentist | 264 Shoreline Dr, Azle, TX 76020-4036 | 2007-03-08 |
| 1376630525 | Eagle Mountian Family Dental, PC | Dentist | 116 Denver Trl, Azle, TX 76020-3614 | 2006-10-09 |
| 1891881884 | Alisha Brooke Porter | Dentist | 240 Park Pl, Azle, TX 76020-3230 | 2006-10-05 |
| 1720697568 | Narek Ohanian | Dentist | 600 Boyd Rd Ste B, Azle, TX 76020-4860 | 2020-07-28 |
| 1659926178 | Garrett Dental Myers | Dentist | 912 Boyd Rd, Azle, TX 76020-2516 | 2019-08-02 |
| 1689235590 | Meggan Dimerling | Dentist | 600 Boyd Rd Ste B, Azle, TX 76020-4860 | 2019-06-23 |
| Find all providers in AZLE | ||||
Please comment or provide details below to improve the information on SO YEON CHUNG.
| 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.