Provider Demographics
NPI:1508450545
Name:ROBERT NGHIA CHANG DDS PLLC
Entity Type:Organization
Organization Name:ROBERT NGHIA CHANG DDS PLLC
Other - Org Name:PASADENA DENTAL DOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NGHIA
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:409-947-0293
Mailing Address - Street 1:3315 BURKE RD STE 303
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1825
Mailing Address - Country:US
Mailing Address - Phone:713-947-0293
Mailing Address - Fax:
Practice Address - Street 1:3315 BURKE RD STE 303
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1825
Practice Address - Country:US
Practice Address - Phone:713-947-0293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-20
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty