Provider Demographics
NPI:1831135763
Name:CHUN, JAMES JIWEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JIWEN
Last Name:CHUN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JIWEN
Other - Middle Name:
Other - Last Name:QIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PH D
Mailing Address - Street 1:5516 SEAFARER CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-4587
Mailing Address - Country:US
Mailing Address - Phone:919-866-1662
Mailing Address - Fax:919-787-4156
Practice Address - Street 1:3803 COMPUTER DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6541
Practice Address - Country:US
Practice Address - Phone:919-787-8779
Practice Address - Fax:919-787-4156
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7262122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist