Provider Demographics
NPI:1700921632
Name:CHANG, STEVE H (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:H
Last Name:CHANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:STEVE
Other - Middle Name:H
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:990 W FREMONT AVE
Mailing Address - Street 2:SUITE #N
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3021
Mailing Address - Country:US
Mailing Address - Phone:408-732-5592
Mailing Address - Fax:408-732-5593
Practice Address - Street 1:990 W FREMONT AVE
Practice Address - Street 2:SUITE #N
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3021
Practice Address - Country:US
Practice Address - Phone:408-732-5592
Practice Address - Fax:408-732-5593
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA356901223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics