Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063726719 Individual Practitioner Male Practitioner

Peter K Chung

Dentist - General Practice • Kent, WA

Professional Overview & Biography Verified Profile Summary

Peter Chung is a registered healthcare professional specializing in Dentist - General Practice in Kent, WA. Practice services are available at 25610 104TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25610 104th Ave Se

Kent, WA 980307610

Telephone 2538509777
Associated Practice Facility / Clinic
🏢 Nurani, Mitchell, Kim, Pc Facility NPI 1053756049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kent, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Kent, WA (3345 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 WA DE60168936

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

5 Associated Practitioners
Dr. Hosan Park , DDS

Dentist - Periodontics

NPI 1104363019

Doctor of Dental Surgery

Dr. Tameem Anwar , DDS

Dentist - General Practice

NPI 1104999853

Doctor of Dental Surgery

Dr. Benjamin Dorantes , DDS

Dentist - General Practice

NPI 1144393893

Doctor of Dental Surgery

Thomas Faber

Dentist - Periodontics

NPI 1376607465
Dr. Julie Kim , DMD

Dentist - General Practice

NPI 1447636618

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 April 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2012

Registered at 25610 104TH AVE SE, KENT, WA 980307610 (Tel: 2538509777)

📍
Updated Business Mailing Address April 05, 2012

Registered at 25610 104TH AVE SE, KENT, WA 980307610

👤
Provider Name / Credentials Updated April 05, 2012

Recorded as PETER CHUNG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2012

Dentist (License #DE60168936 in WA)

🟢
Initial NPI Registration & Enumeration August 04, 2010

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: 1063726719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2010
Last Update: April 05, 2012
Sole Proprietor: Yes

Mailing Address

25610 104th Ave Se

Kent, WA 980307610

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.