Dr Jordan Hugh Chock-wong, DDS is a
Dentist based in Santa Rosa Valley, California. Dr Jordan Hugh Chock-wong is licensed to practice in California (license number 110241) and his current practice location is
2867 Yucca Dr, Santa Rosa Valley, California. He can be reached at his office (for appointments etc.) via phone at
(805) 807-9891.
NPI number for Dr Jordan Hugh Chock-wong is 1184469413 and his current mailing address is 2867 Yucca Dr, Santa Rosa Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184469413.
Healthcare Provider's Profile
| Full Name | Dr Jordan Hugh Chock-wong |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 2867 Yucca Dr, Santa Rosa Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184469413
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 06/27/2024
Medical Identifiers
Medical identifiers for Dr Jordan Hugh Chock-wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184469413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 110241 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jordan Hugh Chock-wong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jordan Hugh Chock-wong, DDS
2867 Yucca Dr,
Santa Rosa Valley, CA 93012-9378
Ph: (805) 807-9891 | Dr Jordan Hugh Chock-wong, DDS
2867 Yucca Dr,
Santa Rosa Valley, CA 93012-9378
Ph: (805) 807-9891 |
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