Provider Demographics
NPI:1609850742
Name:TSENG, CHUN (DMD)
Entity Type:Individual
Prefix:
First Name:CHUN
Middle Name:
Last Name:TSENG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:
Other - Last Name:TSENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:39 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-1446
Mailing Address - Country:US
Mailing Address - Phone:203-344-1120
Mailing Address - Fax:
Practice Address - Street 1:57 NORTH ST
Practice Address - Street 2:STE 201
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5660
Practice Address - Country:US
Practice Address - Phone:203-792-3316
Practice Address - Fax:203-744-5908
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT88971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice