Healthcare Provider Details

I. General information

NPI: 1174417380
Provider Name (Legal Business Name): MICHAEL W CHENG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 SMITH AVE STE A
BALTIMORE MD
21209-1454
US

IV. Provider business mailing address

2835 SMITH AVE STE A
BALTIMORE MD
21209-1454
US

V. Phone/Fax

Practice location:
  • Phone: 410-486-3898
  • Fax:
Mailing address:
  • Phone: 410-486-3898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18578
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: