# MICHAEL W. CHANG, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Appalachian Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609105600
- **Authorized official:** MS. JASMINE M CHOI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (703) 255-4848

## Contact information

- **Practice address:** 3903 FAIR RIDGE DR, SUITE 207, FAIRFAX, VA 22033-2906
- **Practice address phone:** (703) 385-2772
- **Practice address fax:** (703) 935-2492
- **Mailing address:** PO BOX 1328, CENTREVILLE, VA 20122-8328
- **Mailing address phone:** (703) 385-2772
- **Mailing address fax:** (703) 935-2492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412359 | VA | Yes |

## Other

- **Enumeration date:** 12/22/2009
- **Last updated:** 12/22/2009