Provider Demographics
NPI:1164674099
Name:TUNG, AUSTIN (MBA, DDS)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:TUNG
Suffix:
Gender:M
Credentials:MBA, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3009
Mailing Address - Country:US
Mailing Address - Phone:781-944-0072
Mailing Address - Fax:781-944-0454
Practice Address - Street 1:636 MAIN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3009
Practice Address - Country:US
Practice Address - Phone:781-944-0072
Practice Address - Fax:781-944-0454
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice