NPI 1003114018

Jin-Nyung Chang

Practitioner Dentist Worcester, MA

Practice location

Address: 129 Lincoln St, Worcester, MA 01605-2402
Phone: (508) 754-5891
Mailing address: 325 Speen St APT 607, Natick, MA 01760-1566

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN1855615 (MA)

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Registry record

NPI: 1003114018
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2011
Record last updated: 1 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.