Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093905481 Individual Practitioner Male Practitioner

Dr. Justin Tony Chung , DDS

Dentist • Stanton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Justin Chung, DDS is a registered healthcare professional specializing in Dentist in Stanton, CA. Practice services are available at 12362 BEACH BLVD STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Telephone 7142489500
Fax 7146224943
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Stanton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Stanton, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 56138

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Heejin Kim , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1184242976

NURSEPRACTITIONER

Anna Jang , FNP

Nurse Practitioner - Family

NPI 1184340333

Family Nurse Practitioner

NPI 1356035653

NURSEPRACTITIONER

NPI 1356821060

Doctor of Philosophy (Ph.D.)

NPI 1427432756

Doctor of Dental Surgery

Collin Yamaka , FNP-C

Nurse Practitioner - Family

NPI 1508517517

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 08, 2022

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

📍
Updated Business Mailing Address September 08, 2022

Registered at 12362 BEACH BLVD STE 10, STANTON, CA 906803944 (Tel: 7142489500)

📍
Updated Practice Location June 14, 2019

Registered at UNIT 33301, APO, AE 09012 (Tel: 3145904686)

📍
Updated Business Mailing Address June 14, 2019

Registered at UNIT 33301, APO, AE 09012

NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

Registered at 4TH & INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310 (Tel: 7195265537)

📍
Updated Business Mailing Address November 01, 2017

Registered at 4TH & INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310 (Tel: 7195265537)

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as JUSTIN CHUNG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Dentist (License #56138 in CA)

NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2016

Registered at 1631 WETZEL AGE BLDG 815, US ARMY DENTAL ACTIVITY FORT CARSON, FORT CARSON, CO 80913 (Tel: 7195265537)

📍
Updated Business Mailing Address June 29, 2016

Registered at 1631 WETZEL AGE BLDG 815, US ARMY DENTAL ACTIVITY FORT CARSON, FORT CARSON, CO 80913 (Tel: 7195265537)

👤
Provider Name / Credentials Updated June 29, 2016

Recorded as JUSTIN CHUNG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Dentist (License #56138 in CA)

🟢
Initial NPI Registration & Enumeration July 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093905481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2007
Last Update: September 08, 2022
Sole Proprietor: No

Mailing Address

12362 Beach Blvd Ste 10

Stanton, CA 906803944

Phone: 7142489500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.