Provider Demographics
NPI:1124235502
Name:CHEUNG, ALAN H (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 CADILLAC CT
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3058
Mailing Address - Country:US
Mailing Address - Phone:408-586-8847
Mailing Address - Fax:408-586-8963
Practice Address - Street 1:1112 CADILLAC CT
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3058
Practice Address - Country:US
Practice Address - Phone:408-586-8847
Practice Address - Fax:408-586-8963
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA345971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice