Provider Demographics
NPI:1821440660
Name:CHUNG, HOJUN JAMES
Entity Type:Individual
Prefix:
First Name:HOJUN
Middle Name:JAMES
Last Name:CHUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 LAKESIDE LOFTS CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2144
Mailing Address - Country:US
Mailing Address - Phone:919-274-9679
Mailing Address - Fax:
Practice Address - Street 1:1150 NW MAYNARD RD
Practice Address - Street 2:SUITE #120
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8708
Practice Address - Country:US
Practice Address - Phone:919-462-3350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10406122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist