National Provider Identifier
Maximilian M. Chung, D.M.D.
Maximilian M. Chung, D.M.D. is listed in the NPPES registry with a primary specialty of Dentist in Rochester, NY and a listed phone number of (585) 392-7077.
Profile Overview
- NPI
- 1437248499
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- October 11, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3569 Latta RD
- Rochester, NY 14612-2854
Phone: (585) 392-7077
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1437248499
- Entity Type
- Individual
- Last Name
- Chung
- First Name
- Maximilian
- Middle Name
- M.
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 3569 Latta RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-2854
- Mailing Country
- US
- Mailing Phone
- (585) 392-7077
- Practice Street Address
- 3569 Latta RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-2854
- Practice Country
- US
- Practice Phone
- (585) 392-7077
- Enumeration Date
- October 11, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)