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Dr. Gerald Eunkwang Chang, DDS

Dentist, General Practice in Palm Springs, CA. Individual provider (NPI-1).

NPI number1366599359
StatusActive
Last updated in NPPESDec 1, 2011

Details

NPI
1366599359
Entity type
Individual (NPI-1)
Name
Dr. Gerald Eunkwang Chang
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 4, 2007
Last updated
Dec 1, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice54807CAYes

Practice location

140 N Luring Dr
Suite B
Palm Springs, CA 92262-6841

Phone 760-778-2777

Mailing address

140 N Luring Dr
Suite B
Palm Springs, CA 92262-6841

Phone 760-778-2777

Is something wrong?

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Other General Practice Dentistry providers in Palm Springs, CA

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