CHANG WOO JUNG DMD
NPI 1245719780
Dentist - Prosthodontics in Ft Gordon, GA

Q: What is Chang Jung's NPI number?

The NPI number for Chang Jung is 1245719780. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Q: What is Chang Jung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Chang Jung was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 07, 2018

BLDG 38801 ACADEMIC DR, SUITE B&C, FT GORDON, GA 30905(706) 787-7050 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2023, Aug 26, 2019, Aug 7, 2018 (3 updates tracked since 2018).

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About Chang Woo Jung Dmd NPPES

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

CHANG WOO JUNG DMD (NPI 1245719780) is an individual prosthodontics provider in Ft Gordon, Georgia, licensed in Illinois (019.031649) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1245719780

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameCHANG WOO JUNGCredential: DMD

Location AddressBLDG 38801 ACADEMIC DR, SUITE B&CFt Gordon, GA 30905-5645

Mailing Address320 East Hospital RoadFort Gordon, GA 30905 · (706) 787-5102

Phone(706) 787-7050

Sole ProprietorNo

Enumeration DateAugust 7, 2018

Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration

NPPES CertifiedJuly 17, 2023

✔ NPI 1245719780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in IL · 019.031649

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

BLDG 38801 ACADEMIC DR, Ft Gordon, GA 30905

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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.

DR. CRYSTAL JO SMITH DDS

Dentist (General Practice)

BLDG 38801 ACADEMIC DR, SUITE B & C
FT GORDON, GA 30905

Richmond County (706) 787-6927

MRS. LISA ANN HARWELL

Dental Assistant

BLDG 38801 ACADEMIC DR, SUITE B & C
FT GORDON, GA 30905

Richmond County (706) 787-6927

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 Chang Jung's NPI number?

The NPI number for Chang Jung is 1245719780. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Chang Jung located?

Chang Jung practices at Bldg 38801 Academic Dr Suite B&c, Ft Gordon, GA 30905. The listed phone number is (706) 787-7050.

What is Chang Jung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Chang Jung was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.