Individual
DR. MICHAEL W CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14405 W COLFAX AVE # 142, LAKEWOOD, CO 80401-3247
(720) 325-5989
Mailing address
14405 W COLFAX AVE # 142, LAKEWOOD, CO 80401-3247
(720) 325-5989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412359
VA
1223G0001X
General Practice Dentistry
051348
NY
1223G0001X
General Practice Dentistry
13993
MD
1223G0001X
General Practice Dentistry
22DI02267600
NJ
1223G0001X
General Practice Dentistry
Primary
8912
CO
1223G0001X
General Practice Dentistry
DEN1000810
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02558294
NEW YORK MEDICAID
NY
05
—
74405519
—
CO
Enumeration date
03/24/2006
Last updated
11/02/2015
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