Provider Demographics
NPI:1780768382
Name:CHANG, JOYCE YU (DMD MS)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:YU
Last Name:CHANG
Suffix:
Gender:F
Credentials:DMD MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8886 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492
Mailing Address - Country:US
Mailing Address - Phone:707-838-8886
Mailing Address - Fax:707-838-0744
Practice Address - Street 1:8886 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492
Practice Address - Country:US
Practice Address - Phone:707-838-8886
Practice Address - Fax:707-838-0744
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA396111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics