Favian Cheong, D.D.S.
Individual provider Active NPI Prosthodontics · Dana Point, CA
NPI 1609324722 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1609324722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 104377 (CA)
- Practice address
- 34190 Pacific Coast Hwy
Dana Point, CA 92629-2816 - Phone
- (949) 493-7004
- NPI assigned
- Sep 18, 2016
- Sex
- Male
- Sole proprietor
- No
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Favian Cheong, DDS Inc. | Prosthodontics | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 104377 | CA | Yes |
Addresses
Primary practice location
34190 Pacific Coast Hwy
Dana Point, CA 92629-2816
Mailing address
5425 E Rosebay St
Long Beach, CA 90808-3528
Other providers in Dana Point, CA
- Ann Marie Casazza
- Louise Casey
- Mary Castillo
- Katelyn Cecil
- Tiffany Chavez
- Brandon Christensen
- Sophia Chu
- Wayland Chu
- Johnyolando Chua
- Jeanette Churchill-Matillo
All providers in Dana Point, CA · Prosthodontics in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. 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.