Provider Demographics
NPI:1851619373
Name:CHIU, JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:CHIU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E JEFFERSON ST STE 104
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2617
Mailing Address - Country:US
Mailing Address - Phone:215-350-8088
Mailing Address - Fax:
Practice Address - Street 1:401 E JEFFERSON ST STE 104
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2617
Practice Address - Country:US
Practice Address - Phone:301-251-0884
Practice Address - Fax:301-251-0637
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD152451223G0001X
VA04014127481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice