Provider Demographics
NPI:1477796522
Name:CHANG, STEVEN SUN
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SUN
Last Name:CHANG
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:SUN
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2111 HIGHCREST CT
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-1308
Mailing Address - Country:US
Mailing Address - Phone:909-226-3222
Mailing Address - Fax:
Practice Address - Street 1:2111 HIGHCREST CT
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-1308
Practice Address - Country:US
Practice Address - Phone:909-226-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-18
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39382122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist