Yi-Tsu Cheng, D.D.S
Individual provider Active NPI General Practice Dentistry · Chamblee, GA
NPI 1538286133 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1538286133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN010882 (GA)
- Practice address
- 5008 Buford Highway, Suite B
Chamblee, GA 30341 - Phone
- (770) 457-3671
- Fax
- (770) 457-1195
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010882 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wacs | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN010882 | GA | Yes |
Addresses
Primary practice location
5008 Buford Highway, Suite B
Chamblee, GA 30341
Mailing address
5008 Buford Highway, Suite B
Chamblee, GA 30341
Phone (770) 457-3671
Other providers in Chamblee, GA
- Chamblee Medical Clinic
- Dennis Chan
- Carol Kai-Hua Chang
- Shi Chieh Chang
- Tatiana Danielle Chapple
- Nonye Chijioke-Iheaku
- Cima Pediatrics CV, LLC
- Circle of Love , Inc
- Lindsey Shea Clark
- Clinica de la Mujer
All providers in Chamblee, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.