Kristine Cheuk, DDS
Individual provider Active NPI General Practice Dentistry · American Canyon, CA
NPI 1891304762 · NPPES record last updated Dec 2, 2021
Key facts
- NPI
- 1891304762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 106674 (CA)
- Practice address
- 6040 Main St Ste 148
American Canyon, CA 94503-1391 - Phone
- (707) 552-4900
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 106674 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 106674 | CA | Yes |
Addresses
Primary practice location
6040 Main St Ste 148
American Canyon, CA 94503-1391
Mailing address
564 N Civic Dr Apt C
Walnut Creek, CA 94597-3222
Phone (415) 952-0077
Other providers in American Canyon, CA
- Canyon Ranch Dental Care Inc.
- Stephanie Doreen Carpersmith
- Joseph Carter
- Manju Marin Chacko
- Adrian Chavez
- Darlene Barga Chiu
- Betty Christensen
- Christin Brennan Cirillo
- CNG International Inc
- CNG International Inc
All providers in American Canyon, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2021. 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.