EVAN Y CHANG, DDS INC
NPI 1124888144
Dentist - Pediatric Dentistry in Berkeley, CA

Active since March 19, 2024
3085 TELEGRAPH AVE, BERKELEY, CA 94705(510) 984-1768(510) 984-1769 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Y Chang, Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN Y CHANG, DDS INC (NPI 1124888144), doing business as Primary Teeth Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Berkeley, California and active in the NPI registry since March 2024. The organization lists Evan Y Chang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124888144
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameEVAN Y CHANG, DDS INC
Location Address3085 TELEGRAPH AVEBerkeley, CA 94705-2035
Mailing Address1844 Market St Unit 208San Francisco, CA 94102-6288 · (310) 938-0423
Fax(510) 984-1769
Organization SubpartNo
Authorized OfficialEvan Y ChangCeo · (310) 938-0423
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1124888144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3085 TELEGRAPH AVE, Berkeley, CA 94705

Other Names 1

Doing Business AsPrimary Teeth Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3085 TELEGRAPH AVE
BERKELEY, CA 94705
Dentist (Pediatric Dentistry)
3085 TELEGRAPH AVE
BERKELEY, CA 94705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Y Chang, Dds Inc's NPI number?

The NPI number for Evan Y Chang, Dds Inc is 1124888144. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as Primary Teeth Pediatric Dentistry.

Where is Evan Y Chang, Dds Inc located?

Evan Y Chang, Dds Inc is located at 3085 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 984-1768.

What is Evan Y Chang, Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Evan Y Chang, Dds Inc was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.