Provider Demographics
NPI:1437231610
Name:CHUNG, ANDREW HUNG-KWON (DMD)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HUNG-KWON
Last Name:CHUNG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 NORTH HARRISON ST
Mailing Address - Street 2:#36
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-924-0404
Mailing Address - Fax:609-924-0430
Practice Address - Street 1:301 NORTH HARRISON ST
Practice Address - Street 2:#36
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:609-924-0404
Practice Address - Fax:609-924-0430
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI201201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry