MEDICARE: DAVID CHENG, PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1467053587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID CHENG, PLLC

Provider Business Mailing Address
First Line	:	1708 SPRING GREEN BLVD STE 195
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1708 SPRING GREEN BLVD STE 195
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7462
Country	:	US
Telephone Number	:	832-713-7325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID CHENG
Credential	:	DDS
Telephone Number	:	281-769-5556

Provider Enumeration Date	:	11/04/2020
Last Update Date	:	04/30/2023

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