DR. JEANNIE CHUNG DDS
NPI 1265701528
Dentist - Periodontics in Fremont, CA

Active since December 15, 2011
39055 HASTINGS ST, SUITE 104, FREMONT, CA 94538(510) 794-9954(510) 794-1796 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeannie Chung Dds NPPES

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

DR. JEANNIE CHUNG DDS (NPI 1265701528) is an individual periodontics provider in Fremont, California, licensed in California (37538) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1265701528
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JEANNIE CHUNGCredential: DDS
Location Address39055 HASTINGS ST, SUITE 104Fremont, CA 94538-1518
Mailing Address39055 Hastings St, Suite 104Fremont, CA 94538-1518 · (510) 794-9954 · Fax (510) 794-1796
Fax(510) 794-1796
Sole ProprietorYes
Enumeration DateDecember 15, 2011
NPI 1265701528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 37538
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
39055 HASTINGS ST, Fremont, CA 94538

Other Providers at the Same Location NPPES 7

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

Physiological Laboratory
39055 HASTINGS ST, STE 106A
FREMONT, CA 94538
Specialist
39055 HASTINGS ST, 106A
FREMONT, CA 94538
Psychologist (Clinical)
39055 HASTINGS ST, SUITE 106
FREMONT, CA 94538
Dentist (Periodontics)
39055 HASTINGS ST, SUITE 104
FREMONT, CA 94538
Dentist
39055 HASTINGS ST, SUITE 203
FREMONT, CA 94538
Health Maintenance Organization
39055 HASTINGS ST, SUITE 203
FREMONT, CA 94538
Dentist (General Practice)
39055 HASTINGS ST, SUITE 203
FREMONT, CA 94538

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 Jeannie Chung's NPI number?

The NPI number for Jeannie Chung is 1265701528. It was assigned to this individual provider in the NPPES registry on December 15, 2011.

Where is Jeannie Chung located?

Jeannie Chung practices at 39055 Hastings St Suite 104, Fremont, CA 94538. The listed phone number is (510) 794-9954.

What is Jeannie Chung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jeannie Chung was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.