Individual
WILLIAM CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
(317) 274-2603
Mailing address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-7433
(317) 274-2603
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12013940A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947519
—
PA
Enumeration date
11/07/2005
Last updated
08/25/2025
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