DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAE CHUNG

Active Sole Proprietor

JAE CHUNG is a Dentist healthcare provider located in SAN BERNARDINO, California. NPI 1902579949 is currently active in the NPPES registry. Verify at CMS.

Dentist · SAN BERNARDINO, CA

Registration Details

NPI Number
1902579949
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2021 (5.053003207761 yrs)
Last Updated
Jul 27, 2021
License
DDS105162 (CA)
Sole Proprietor
Yes

Practice Information

Address
654 W 4TH ST # A
SAN BERNARDINO, CA, 924103216
Browse CA providers · Browse ZIP 92410
Phone
9093863650
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SAN BERNARDINO, CA

Name Credential NPI
DR. WILLIAM BECKWITH WHITE D.D.S. 1366483513
DR. AHMEDALI Y MAKATI D.D.S. 1417972332
RONALD CONWAY CASDIN DDS 1609898592
SANJAY VASANGEE PATEL DDS 1942216809
IAN SHWARTZMAN DDS 1710072103
ALENDA LUPTRAWAN DDS 1750470795
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.