DR. CHAN YOUNG JIN DMD
NPI 1790574762
Dentist in Apo, AA

Q: What is Chan Young Jin's NPI number?

The NPI number for Chan Young Jin is 1790574762. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Chan Young Jin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Chan Young Jin was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 May 05, 2025

25501 BRAINARD AVE, FORT EISENHOWER, APO, AA 30905(318) 308-0778 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 1, 2025, May 28, 2025, May 5, 2025 (3 updates tracked since 2025).

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About Dr. Chan Young Jin Dmd NPPES

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

DR. CHAN YOUNG JIN DMD (NPI 1790574762) is an individual dentist in Apo, AA, licensed in Georgia (DN123773) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1790574762

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHAN YOUNG JINCredential: DMD

Location Address25501 BRAINARD AVE, FORT EISENHOWERApo, AA 30905

Mailing Address320 W Hospital RdFort Eisenhower, GA 30905-5741

Phone(318) 308-0778

Sole ProprietorYes

Enumeration DateMay 5, 2025

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1790574762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN123773

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

25501 BRAINARD AVE, FORT EISENHOWER, Apo, AA 30905

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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 Chan Young Jin's NPI number?

The NPI number for Chan Young Jin is 1790574762. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Chan Young Jin located?

Chan Young Jin practices at 25501 Brainard Ave, Fort Eisenhower, Apo, AA 30905. The listed phone number is (318) 308-0778.

What is Chan Young Jin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Chan Young Jin was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.