Provider Demographics
NPI:1023296829
Name:DR JAMES J CHUN DDS
Entity type:Organization
Organization Name:DR JAMES J CHUN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PA
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-787-8779
Mailing Address - Street 1:3803-B COMPUTER DR
Mailing Address - Street 2:SUITE #202
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609
Mailing Address - Country:US
Mailing Address - Phone:919-787-8779
Mailing Address - Fax:919-787-4156
Practice Address - Street 1:3803-B COMPUTER DR
Practice Address - Street 2:SUITE #202
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609
Practice Address - Country:US
Practice Address - Phone:919-787-8779
Practice Address - Fax:919-787-4156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7262122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990172Medicaid