Provider Demographics
NPI:1558575787
Name:RHEE, CHANG HA JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHANG HA
Middle Name:JAMES
Last Name:RHEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:RHEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:382 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3509
Mailing Address - Country:US
Mailing Address - Phone:516-433-2520
Mailing Address - Fax:516-433-2550
Practice Address - Street 1:382 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3509
Practice Address - Country:US
Practice Address - Phone:516-433-2520
Practice Address - Fax:516-433-2550
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048027122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist