Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jea Hoon Chang, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255191193

Dr. Jea Hoon Chang, DMD is a Student in an Organized Health Care Education/Training Program in Louisville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2024
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

9351 Viking Center Dr Ste 101
Louisville, KY 40222-5701
Phone: (502) 554-9336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3015 Wilson Ave, Louisville, KY 40211-1969 — (502) 774-4401

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11172 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255191193
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

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