MEDICARE: KOUNGHAE CHEON

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	1223G0001X	General Practice Dentistry	2901021393	MI

General Provider Information

NPI Number	:	1962803783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOUNGHAE CHEON

Provider Business Mailing Address
First Line	:	3005 WHISPERWOOD DR APT 288
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-3409
Country	:	US
Telephone Number	:	909-556-8791
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 JACKSON XING
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49202-2039
Country	:	US
Telephone Number	:	517-841-0000
Fax Number	:

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

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	09/11/2014

Similar Medicare Providers

1578401329 — VARSHA PRABHATH BHAT
Practice Location Address:

1074 JACKSON XING
JACKSON, MI
49202-2039

Practice Phone: 517-841-0000
Practice Fax:

1750303426 — WOODWARD DETROIT CVS LLC
Practice Location Address:

1076 JACKSON XING
JACKSON, MI
49202-2039

Practice Phone: 517-788-5359
Practice Fax: 517-960-2474

1821420043 — D2 DENTAL OF MICHIGAN
Practice Location Address:

1074 JACKSON XING
JACKSON, MI
49202-2039

Practice Phone: 517-841-0000
Practice Fax:

1851765846 — ASHLEY HOULE
Practice Location Address:

1076 JACKSON XING
JACKSON, MI
49202-2039

Practice Phone: 517-788-5359
Practice Fax:

1548787997 — DR. RAMI KHALIL DDS
Practice Location Address:

1074 JACKSON XING
JACKSON, MI
49202-2039

Practice Phone: 517-841-0000
Practice Fax:

1326664970 — FOWAD SHARIFF DDS
Practice Location Address:

1074 JACKSON XING
JACKSON, MI
49202-2039

Practice Phone: 517-841-0000
Practice Fax:

Directions to “ KOUNGHAE CHEON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.