Organization
DAVID J. CHANG DDS PA
Active
Other names
Excite Dental, Advanced Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JONATHAN CHANG DDS (PRESIDENT)
(832) 465-0346
Entity
Organization
Contact information
Practice address
1701 SHAVER ST STE 100, PASADENA, TX 77502-2027
(713) 589-1888
(713) 589-1998
Mailing address
1701 SHAVER ST STE 100, PASADENA, TX 77502-2027
(713) 589-1888
(713) 589-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21337
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580433-04
—
TX
05
—
1580433-06
—
TX
01
—
B2133701
DELTA DENTAL CHIPS
TX
Enumeration date
10/04/2006
Last updated
04/05/2024
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