Dr. Jason Chong
Prosthodontist
515 Moos Health Science Tower 9-176
Minneapolis
, Minnesota 55455
Dr. Jason Chong
Prosthodontist
515 Moos Health Science Tower 9-176
Minneapolis
, Minnesota 55455
(612) 625-5655
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Jason Chong
- 515 Moos Health Science Tower 9-176
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 625-5655
Second Address
- Dr. Jason Chong
- 515 Moos Health Science Tower 9-176
- Minneapolis, MN
- Zip : 55455
- Phone : (612) 625-5655
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | D12653 | MN |
National Provider Identifier
| NPI | 1023240074 |
|---|---|
| Provider Name | Dr. Jason Chong |
| First Address | Minneapolis, MN 55455 |
| Second Address | Minneapolis, MN 55455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2009 |
| Last Update Date | 28/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.