Provider Demographics
NPI:1306995345
Name:CHEUNG, PATRICK H (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
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 1:1283 22ND AVE 2ND FLOOR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1601
Mailing Address - Country:US
Mailing Address - Phone:415-753-9888
Mailing Address - Fax:415-753-9688
Practice Address - Street 1:1283 22ND AVE 2ND FLOOR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1601
Practice Address - Country:US
Practice Address - Phone:415-753-9888
Practice Address - Fax:415-753-9688
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA337341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD33734OtherMEDI-CAL OR DENTI-CAL