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Contact Information

JONATHAN Y CHIANG, DDS
9169 COORS RD. NW
ALBUQUERQUE, NM87193
 Phone: 505-733-8440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JONATHAN Y CHIANG · (Male)

NPI Number 1598768129
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/27/2005
Last updated 03/25/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019-026320
  • UT License # 5538443-9921/8903
  • NM Medicaid 45076880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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