Dr. Nancy Su-Fang Chang, D.M.D.
Dentist, Pediatric Dentistry in Superior, CO. Individual provider (NPI-1).
NPI number1124257936
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1124257936
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nancy Su-Fang Chang
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2009
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DEN.00203199 | CO | Yes |
| 1223G0001X | Dentist, General Practice | 0401412728 | VA |
Practice location
306 Center DrSuperior, CO 80027-8625
Phone 303-499-9555
Mailing address
306 Center DrSuperior, CO 80027-8625
Other practice locations
5211 Lyngate Court
Burke, VA 22015
Burke, VA 22015
Phone 703-323-1400 · Fax 703-426-0415
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