# DR. JONATHAN W CHAY

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

## Provider details

- **NPI number:** 1497285407
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 10069 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | CA | — |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 03/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZX0045 | — | SC |