DR. MAN LEE CHUNG (NPI# 1750674420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750674420 |
Entity Type | Individual |
Full Name | DR. MAN LEE CHUNG |
Other Name | DR. ROBERT CHUNG |
Credential | D.D.S. |
Practice Address |
4 Dearfield Dr Suite 201 Greenwich CT 06831-5351 |
Practice Telephone | 2036613733 |
Mailing Telephone | 2036613733 |
Enumeration Date | 2011-05-27 |
Last Update Date | 2011-05-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
009008 | CT | Dental Providers |
Street Address |
4 DEARFIELD DR SUITE 201 |
City | GREENWICH |
State | CT |
Zip Code | 06831-5351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205834645 | William S Potter | Ophthalmology | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2005-07-11 |
1326542408 | Rosemary Ryan | Dentist | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2018-03-22 |
1982972030 | Scott R Fisher | Dentist | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2011-12-05 |
1295024040 | Rosemary Ryan, D.d.s., L.L.C. | Dentist | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2011-04-01 |
1477858082 | Milton F. Campbell Sr. | Ophthalmology | 4 Dearfield Dr, Greenwich, CT 06831 | 2011-01-13 |
1326350596 | Vincent Benjamin Defina | Dentist | 4 Dearfield Dr, Suite 202, Greenwich, CT 06831-5351 | 2010-07-05 |
1689854192 | Ian M. Rubins, Md, PC | Specialist | 4 Dearfield Dr, Suite 106, Greenwich, CT 06831-5351 | 2007-11-13 |
1851597660 | Chris Piccaro | Dentist | 4 Dearfield Dr, Greenwich, CT 06831-5351 | 2007-06-27 |
1295931798 | Barbara Jean Devine | Dentist | 4 Dearfield Dr, Suite 202, Greenwich, CT 06831-5351 | 2007-06-22 |
1033239397 | Vincent M Buonanno | Chiropractor | 4 Dearfield Dr, Suite 105, Greenwich, CT 06831-5351 | 2007-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
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Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073727053 | Eman J. Traynor | Dentist | 56 Lafayette Pl, C, Greenwich, CT 06830-5430 | 2007-05-09 |
1871623652 | William Philip Mara Jr. | Dentist | 282 Railroad Ave, Greenwich, CT 06830-6375 | 2007-03-07 |
1972672723 | Vito Bill Federici | Dentist | 49 Lake Ave, Greenwich, CT 06830 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
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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.