Provider Demographics
NPI:1497945562
Name:CHANG, CHING (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHING
Middle Name:
Last Name:CHANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7710 SHADYVILLA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-5010
Mailing Address - Country:US
Mailing Address - Phone:713-957-0332
Mailing Address - Fax:713-365-9781
Practice Address - Street 1:8800 KATY FWY
Practice Address - Street 2:SUITE 280
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1633
Practice Address - Country:US
Practice Address - Phone:713-365-9904
Practice Address - Fax:713-365-9781
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX161121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice