National Provider Identifier Database

LORA CHONGRUK, DMD – NPI #1184865370
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

LORA CHONGRUK, DMD
PSC 475 BOX 1
FPO, AP96350-1200
Phone: 315-243-3546
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for LORA CHONGRUK

NPI Number 1184865370
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/17/2009
Last updated 01/11/2026 - About 5 months ago
Sole proprietor1 No
Identifiers
  • IL License #: 021.002294
  • WA License #: DE60100287
Hospital affiliation n/a

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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