Most Relevant Information
Provider Data
| NPI Number: | 1003036286 |
| Provider Name: | JEFFREY CHAI CHANG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 17324 |
Most Important Dates
| Enumeration Date: | 04/27/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
38TH STREET, BLDG 38717
USA DENTAC
FT GORDON
GA
309055660
Practice Location Phone/Fax
| Phone: | 7067876927 |
| Fax: | 7067872081 |
Provider Mailing Location
38TH STREET, BLDG 38717
USA DENTAC
FT GORDON
GA
309055660
Provider Mailing Phone/Fax
| Phone: | 7067876927 |
| Fax: | 7067872081 |