Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598043549 Individual Practitioner Female Practitioner

So Yeon Chung

Dentist - General Practice • Azle, TX

Professional Overview & Biography Verified Profile Summary

So Chung is a registered healthcare professional specializing in Dentist - General Practice in Azle, TX. Practice services are available at 112 INDUSTRIAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 Industrial Ave

Azle, TX 76020

Telephone 8172703700
Associated Practice Facility / Clinic
🏢 Forever Teeth P.l.l.c. Facility NPI 1477758233

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Azle, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Azle, TX (10570 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 TX 29645

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

1 Associated Practitioners
NPI 1538264247

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 14, 2019

Registered at 112 INDUSTRIAL AVE, AZLE, TX 76020 (Tel: 8172703700)

📍
Updated Business Mailing Address October 14, 2019

Registered at 708 GLEN ABBEY DR, SOUTHLAKE, TX 760921378 (Tel: 3478995601)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2019

Dentist (License #29645 in TX)

NPI Profile Active September 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2012

Registered at 460 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 076322919 (Tel: 2016087000)

📍
Updated Business Mailing Address September 21, 2012

Registered at 460 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 076322919 (Tel: 2016087000)

👤
Provider Name / Credentials Updated September 21, 2012

Recorded as SO CHUNG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2012

Dentist (License #22DI02518400 in NJ)

🟢
Initial NPI Registration & Enumeration July 25, 2011

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: 1598043549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2011
Last Update: October 14, 2019
Sole Proprietor: Yes

Mailing Address

708 Glen Abbey Dr

Southlake, TX 760921378

Phone: 3478995601

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.