P Praxis·MD
● Active Type 1 · Individual

So Yeon Chung

Dentist·Azle, TX· NPI 1598043549 · Enumerated 2011 · 14 years on NPI
Chung is 1 of 17 dentist providers in Azle and 1 of 15661 in Texas.
NPI age
14 years
Enumerated 2011-07-25
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 15661 active dentist providers in Texas.

NPI age
14 years
≈ at median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
112 Industrial Ave
Azle, TX 76020
📞 8172703700
Mailing address
708 Glen Abbey Dr
Southlake, TX 760921378
📞 3478995601

Specialties

  • Dentist Primary
    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.
    TX license #29645 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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