Individual
DR. HEERA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., DDS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2207
(860) 679-1363
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2207
(860) 679-1363
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14394
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
CSDT-80
HI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN1855289
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
17632
HI
Other
Enumeration date
01/03/2007
Last updated
06/17/2025
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