Healthcare Provider Details

I. General information

NPI: 1801641360
Provider Name (Legal Business Name): JOSHUA CHENG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 CENTRAL AVE
BILLINGS MT
59102-8626
US

IV. Provider business mailing address

2900 CENTRAL AVE
BILLINGS MT
59102-8626
US

V. Phone/Fax

Practice location:
  • Phone: 406-656-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN-DEN-LIC-28281
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: