Dr Charles Chung, DMD | |
2860 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8339 | |
(770) 998-5290 | |
(770) 552-4795 |
Full Name | Dr Charles Chung |
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Gender | Male |
Speciality | Dentist |
Location | 2860 Johnson Ferry Rd, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023279882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN013756 (Georgia) | Primary |
Entity Name | Ethne Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538646054 PECOS PAC ID: 5092054940 Enrollment ID: O20190311002940 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Chung, DMD 2860 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8339 Ph: (404) 545-4633 | Dr Charles Chung, DMD 2860 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8339 Ph: (770) 998-5290 |
Dr. Melanie Anne Nadler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1075 Whitlock Ave Sw Ste C, Marietta, GA 30064 Phone: 770-422-5614 | |
Dr. Thomas John Mazzuchelli, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 58 Shawnee Ln, Marietta, GA 30067 Phone: 770-973-6520 | |
David Chyan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4250 Roswell Rd Ste 110, Marietta, GA 30062 Phone: 770-509-5585 | |
Dr. Barton L Mcghee Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd, Bldg H, Marietta, GA 30068 Phone: 770-977-0364 Fax: 678-819-6531 | |
Dr. Ken H. Farrar, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3770 Due West Rd Nw, Suite 100, Marietta, GA 30064 Phone: 770-428-0283 Fax: 770-590-8658 | |
Dr. Rina M Mehta, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Dallas Hwy Sw, Suite #401, Marietta, GA 30064 Phone: 770-428-4888 Fax: 770-428-4009 | |
Lawrence P Husney, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2663 Sandy Plains Road, Marietta, GA 30066 Phone: 770-977-0827 Fax: 770-973-6764 |