Provider Demographics
NPI:1306855507
Name:CHENG, ERNEST DON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:DON
Last Name:CHENG
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 1:95-1249 MEHEULA PKWY
Mailing Address - Street 2:#138
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1779
Mailing Address - Country:US
Mailing Address - Phone:808-625-6223
Mailing Address - Fax:808-625-9288
Practice Address - Street 1:95-1249 MEHEULA PKWY
Practice Address - Street 2:#138
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1779
Practice Address - Country:US
Practice Address - Phone:808-625-6223
Practice Address - Fax:808-625-9288
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI12531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice