Provider Demographics
NPI:1639327521
Name:TEOH, JEREMY HUI CHERN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:HUI CHERN
Last Name:TEOH
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 1:5547 N CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1620
Mailing Address - Country:US
Mailing Address - Phone:626-415-8364
Mailing Address - Fax:
Practice Address - Street 1:33 E SIERRA MADRE BLVD FL 2
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-2513
Practice Address - Country:US
Practice Address - Phone:626-447-8158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA574521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice