Provider Demographics
NPI:1831606086
Name:JHIA-MING CHANG, DDS, PC
Entity type:Organization
Organization Name:JHIA-MING CHANG, DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JHIA-MING
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-352-2073
Mailing Address - Street 1:11208 WAPLES MILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6077
Mailing Address - Country:US
Mailing Address - Phone:703-352-2073
Mailing Address - Fax:703-352-1541
Practice Address - Street 1:11208 WAPLES MILL RD STE 100
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6077
Practice Address - Country:US
Practice Address - Phone:703-352-2073
Practice Address - Fax:703-352-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental