Provider Demographics
NPI:1508948654
Name:CHEUK, SHU F (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHU
Middle Name:F
Last Name:CHEUK
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 1:14560 MANCHESTER RD
Mailing Address - Street 2:STE 27
Mailing Address - City:WINCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011
Mailing Address - Country:US
Mailing Address - Phone:636-394-4275
Mailing Address - Fax:
Practice Address - Street 1:14560 MANCHESTER RD
Practice Address - Street 2:STE 27
Practice Address - City:WINCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011
Practice Address - Country:US
Practice Address - Phone:636-394-4275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO126451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice