Provider Demographics
NPI:1669555249
Name:CHENG, GEORGE S (DDS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:S
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 1:11216 CHIVALRY CHASE LN
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-8929
Mailing Address - Country:US
Mailing Address - Phone:804-357-5000
Mailing Address - Fax:540-775-0626
Practice Address - Street 1:5996 PLANK RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6232
Practice Address - Country:US
Practice Address - Phone:540-412-6793
Practice Address - Fax:540-775-0626
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04014106081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice