NPI 1053320606

Peter Sung Jong Chang, DDS

Practitioner General Practice Dentistry Roselle, IL

Practice location

Address: 603 E Irving Park Rd, Roselle, IL 60172-2302
Phone: (630) 893-4200
Fax: (630) 893-4508

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019022395 (IL)

Other Dentist providers in Illinois →

Registry record

NPI: 1053320606
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2006
Record last updated: 24 Sep 2008

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.