Provider Demographics
NPI:1245550649
Name:CHEYNEY, EMILY JEAN I (DDS)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JEAN
Last Name:CHEYNEY
Suffix:I
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:JEAN
Other - Last Name:UNDERWOOD
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3803 WALES ROAD NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646
Mailing Address - Country:US
Mailing Address - Phone:330-833-4169
Mailing Address - Fax:330-833-1224
Practice Address - Street 1:3803 WALES ROAD NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646
Practice Address - Country:US
Practice Address - Phone:330-833-4169
Practice Address - Fax:330-833-1224
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0230301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice