Provider Demographics
NPI:1154434744
Name:HUANG, CHIEN-MING (DDS)
Entity type:Individual
Prefix:DR
First Name:CHIEN-MING
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:9473 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2126
Mailing Address - Country:US
Mailing Address - Phone:626-286-5866
Mailing Address - Fax:626-286-6233
Practice Address - Street 1:9473 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-2126
Practice Address - Country:US
Practice Address - Phone:626-286-5866
Practice Address - Fax:626-286-6233
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA518817Medicare UPIN