MEDICARE: DR. PATRICK CHENG DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN29248	FL

General Provider Information

NPI Number	:	1518702034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK CHENG DMD

Provider Business Mailing Address
First Line	:	18750 NW 3RD ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-3280
Country	:	US
Telephone Number	:	954-235-2619
Fax Number	:

Provider Business Practice Location Address
First Line	:	12434 W ATLANTIC BLVD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4086
Country	:	US
Telephone Number	:	954-235-2619
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	07/22/2024

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