# DR. IVY CHANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447573241
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 046700 | NY | — |
| 1223G0001X | General Practice Dentistry | DI01992300 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | DI19923 | NJ | — |

## Other

- **Enumeration date:** 03/08/2010
- **Last updated:** 02/09/2022