Provider Demographics
NPI:1114534617
Name:CHON, JANEY (DMD)
Entity type:Individual
Prefix:
First Name:JANEY
Middle Name:
Last Name:CHON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8915 BALFERN CT
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-8096
Mailing Address - Country:US
Mailing Address - Phone:502-500-8565
Mailing Address - Fax:
Practice Address - Street 1:260 HAMILTON CROSSING DR
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-2262
Practice Address - Country:US
Practice Address - Phone:865-233-8739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11323122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist