Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053320606 Individual Practitioner Male Practitioner

Dr. Peter Sung Jong Chang , DDS

Dentist - General Practice • Roselle, IL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Chang, DDS is a registered healthcare professional specializing in Dentist - General Practice in Roselle, IL. Practice services are available at 603 E IRVING PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

603 E Irving Park Rd

Roselle, IL 601722302

Telephone 6308934200
Fax 6308934508
Associated Practice Facility / Clinic
🏢 Roselle Dental Center Pc Facility NPI 1518964402

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roselle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Roselle, IL (5581 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019022395

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

2 Associated Practitioners
Dr. Harvey Seybold , DDS

Dentist - General Practice

NPI 1508087446

Doctor of Dental Surgery

Dr. Jacqueline Hassenplug , DMD

Dentist - General Practice

NPI 1508438185

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2008

Registered at 603 E IRVING PARK RD, ROSELLE, IL 601722302 (Tel: 6308934200)

📍
Updated Business Mailing Address September 24, 2008

Registered at 603 E IRVING PARK RD, ROSELLE, IL 601722302 (Tel: 6308934200)

👤
Provider Name / Credentials Updated September 24, 2008

Recorded as PETER CHANG, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2008

Dentist (License #019022395 in IL)

🟢
Initial NPI Registration & Enumeration August 05, 2006

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: 1053320606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: September 24, 2008
Sole Proprietor: No

Mailing Address

603 E Irving Park Rd

Roselle, IL 601722302

Phone: 6308934200

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.