Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeannie Chung, DDS, MS, Inc

Organization Periodontics · NPI 1457404592

Jeannie Chung, DDS, MS, Inc is a Periodontics in Fremont, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39055 Hastings St Ste 104
Fremont, CA 94538-1518
Phone: (510) 794-9954
Fax: (510) 794-1796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 37538 (CA)
Periodontics Taxonomy 1223P0300X · Licence 38284 (CA)

Record details

NPI number1457404592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeannie Chung — President · (510) 794-9954
Other names Ronald K. Fujitaki, Dds, Ms
NPI enumeratedJanuary 20, 2007
Last updated in NPPESDecember 14, 2011
Mailing address39055 Hastings St, Suite 104, Fremont, CA 94538-1518

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