Provider Demographics
NPI:1679840243
Name:CHU, HENG-YING I (DMD)
Entity Type:Individual
Prefix:DR
First Name:HENG-YING
Middle Name:I
Last Name:CHU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BANK ST #240
Mailing Address - Street 2:ORAL & MAXILLOFACIAL SURGERY
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878
Mailing Address - Country:US
Mailing Address - Phone:301-948-9800
Mailing Address - Fax:
Practice Address - Street 1:1 BANK ST STE 240
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1554
Practice Address - Country:US
Practice Address - Phone:301-948-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102485300122300000X, 1223S0112X
VA04014157631223S0112X
DCDEN10017861223S0112X
MD164511223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist