Provider Demographics
NPI:1043234750
Name:CHEUNG, ANDREW C (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:C
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E. DIVISION ROAD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830
Mailing Address - Country:US
Mailing Address - Phone:865-482-5811
Mailing Address - Fax:865-482-8686
Practice Address - Street 1:140 E. DIVISION ROAD
Practice Address - Street 2:SUITE A-1
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-482-5811
Practice Address - Fax:865-482-8686
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS81861223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery