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GLENN CHANG DDS INC
NPI 1396148771
Dentist - Periodontics in Diamond Bar, CA

Active since September 30, 2014
20657 GOLDEN SPRINGS DR, SUITE205B, DIAMOND BAR, CA 91789(909) 595-2868(909) 569-1866 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn Chang Dds Inc NPPES

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

GLENN CHANG DDS INC (NPI 1396148771) is a healthcare organization registered as a periodontics in Diamond Bar, California and active in the NPI registry since September 2014. The organization lists Glenn Chang, President, as its authorized official.

NPPES Registry Identity

NPI1396148771
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGLENN CHANG DDS INC
Location Address20657 GOLDEN SPRINGS DR, SUITE205BDiamond Bar, CA 91789-3875
Mailing Address20657 Golden Springs Dr, Suite205bDiamond Bar, CA 91789-3875 · (909) 595-2868 · Fax (909) 569-1866
Phone(909) 595-2868
Fax(909) 569-1866
Organization SubpartNo
Authorized OfficialGlenn ChangPresident · (909) 595-2868
Enumeration DateSeptember 30, 2014
Last NPPES UpdateOctober 15, 2014
✔ NPI 1396148771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 54537
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.
20657 GOLDEN SPRINGS DR, Diamond Bar, CA 91789
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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.

DR. ALINA WANLING GAD DDS
Dentist (General Practice)
20657 GOLDEN SPRINGS DR, SUITE 207
DIAMOND BAR, CA 91789
Los Angeles County (909) 595-8288
DR. MICAH KIM D.C.
Chiropractor
20657 GOLDEN SPRINGS DR, SUITE #202
DIAMOND BAR, CA 91789
Los Angeles County (909) 595-0011

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 Glenn Chang Dds Inc's NPI number?

The NPI number for Glenn Chang Dds Inc is 1396148771. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Glenn Chang Dds Inc located?

Glenn Chang Dds Inc is located at 20657 Golden Springs Dr Suite205b, Diamond Bar, CA 91789. The listed phone number is (909) 595-2868.

What is Glenn Chang Dds Inc'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 Glenn Chang Dds Inc was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.