Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780665638 Individual Practitioner Male Practitioner

Dr. Jack Koji Chung , DDS

Dentist - General Practice • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Chung, DDS is a registered healthcare professional specializing in Dentist - General Practice in Travis Afb, CA. Practice services are available at 60 MDG/SGDD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

60 Mdg/sgdd
101 Bodin Circle

Travis Afb, CA 945351800

Telephone 7074237000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Travis Afb, CA (18734 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: 2025-08-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019026052

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

19 Associated Practitioners
NPI 1013455492
Dr. Paulencia Morris , DDS

Dentist - Pediatric Dentistry

NPI 1073789707

Doctor of Dental Surgery

Dr. Austin Wood , DDS

Dentist - General Practice

NPI 1134064074

Doctor of Dental Surgery

Dr. Son Vu , DDS

Dentist - General Practice

NPI 1134110877

Doctor of Dental Surgery

David Welch

Dentist - Pediatric Dentistry

NPI 1134487085
Amy Park

Dentist

NPI 1164360996

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location August 12, 2025

Registered at 60 MDG/SGDD, 101 BODIN CIRCLE, TRAVIS AFB, CA 945351800 (Tel: 7074237000)

📍
Updated Business Mailing Address August 12, 2025

Registered at 60 MDG/SGDD, 101 BODIN CIRCLE, TRAVIS AFB, CA 945351800 (Tel: 7074237000)

📍
Updated Practice Location July 11, 2025

Registered at 60 MDG, 101 BODIN CIRCLE, TRAVIS AFB, CA 945351800 (Tel: 7074237000)

📍
Updated Business Mailing Address July 11, 2025

Registered at 60 MDG, 101 BODIN CIRCLE, TRAVIS AFB, CA 945351800 (Tel: 7074237000)

📍
Updated Practice Location October 25, 2022

Registered at 374TH MEDICAL GROUP UNIT 5071, APO, AP 963285071 (Tel: 0118142552)

📍
Updated Business Mailing Address October 25, 2022

Registered at 374TH MEDICAL GROUP UNIT 5071, YOKOTA AB, APO, AP 96328 (Tel: 0118142552)

📍
Updated Practice Location April 05, 2021

Registered at 18TH MEDICAL GROUP UNIT 5142, APO, AP 963685142 (Tel: 0118180942)

📍
Updated Practice Location August 01, 2019

Registered at 18TH MEDICAL GROUP, APO, AP 96368 (Tel: 0118180942)

📍
Updated Business Mailing Address August 01, 2019

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 96368

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2019

Dentist (License #019026052 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 374 DENTAL CLINIC, APO, AP 96326 (Tel: 0118131175)

📍
Updated Business Mailing Address July 08, 2007

Registered at PSC 78 BOX 1781, APO, AP 96326 (Tel: 0118131175)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK CHUNG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration November 08, 2005

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: 1780665638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: August 12, 2025
Sole Proprietor: No

Mailing Address

60 Mdg/sgdd, 101 Bodin Circle

Travis Afb, CA 945351800

Phone: 7074237000

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.