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NPI Code Detail

MEDICARE: KERRY ZHU CHENG DDS

MEDICARE: KERRY ZHU CHENG DDS
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
11223G0001XGeneral Practice Dentistry12914NC

General Provider Information

NPI Number : 1598392730
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY ZHU CHENG DDS
Provider Business Mailing Address
First Line : 7 PROFESSIONAL DR
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1332
Country : US
Telephone Number : 252-747-8162
Fax Number :
Provider Business Practice Location Address
First Line : 6 PROFESSIONAL DR
Second Line :
City : SNOW HILL
State : NC
Zip : 28580-1333
Country : US
Telephone Number : 252-747-3846
Fax Number : 252-747-2466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 01/10/2024

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