Provider Demographics
NPI:1760518674
Name:CHYI, JONG-HUEY JUDY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONG-HUEY
Middle Name:JUDY
Last Name:CHYI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:J
Other - Last Name:CHYI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3334 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3105
Mailing Address - Country:US
Mailing Address - Phone:510-763-3711
Mailing Address - Fax:510-763-3611
Practice Address - Street 1:3334 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3105
Practice Address - Country:US
Practice Address - Phone:510-763-3711
Practice Address - Fax:510-763-3611
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA356981223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics