Provider Demographics
NPI:1245204684
Name:CHENG, YI-SHING LISA (DDS, PHD)
Entity Type:Individual
Prefix:DR
First Name:YI-SHING
Middle Name:LISA
Last Name:CHENG
Suffix:
Gender:F
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIAGNOSTIC SCIENCE, BAYLOR COLLEGE OF DENTISTRY-TAMHSC
Mailing Address - Street 2:3302 GASTON AVE.
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246
Mailing Address - Country:US
Mailing Address - Phone:214-828-8912
Mailing Address - Fax:214-828-8306
Practice Address - Street 1:3302 GASTON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2013
Practice Address - Country:US
Practice Address - Phone:214-828-8912
Practice Address - Fax:214-828-8306
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216761223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1841338076OtherORAL PATHOLOGY ASSOCIATES
TX1841338076OtherORAL PATHOLOGY ASSOCIATES