National Provider Identifier Database

OTIS T CHONG, DMD – NPI #1861663148
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

OTIS T CHONG, DMD
30190 TOWN CENTER DRIVE
SUITE B
LAGUNA NIGUEL, CA92677
Phone: 949-363-2540
Fax: 949-363-3352
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for OTIS T CHONG

NPI Number 1861663148
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/14/2008
Last updated 01/25/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 56385
  • MA License #: 215521
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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