Provider Demographics
NPI:1982730180
Name:YUAN, CHIA-HUNG (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHIA-HUNG
Middle Name:
Last Name:YUAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:EDWARD
Other - Middle Name:
Other - Last Name:YUAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:7 CHATHAM SQ RM 503
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1000
Mailing Address - Country:US
Mailing Address - Phone:212-385-8080
Mailing Address - Fax:
Practice Address - Street 1:7 CHATHAM SQ RM 503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1000
Practice Address - Country:US
Practice Address - Phone:212-385-8080
Practice Address - Fax:212-385-8082
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0508431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice