Provider Demographics
NPI:1831221142
Name:CHEUNG, REGINA C (DDS)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:C
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 N ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5807
Mailing Address - Country:US
Mailing Address - Phone:916-448-1821
Mailing Address - Fax:916-448-8822
Practice Address - Street 1:2431 N ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5807
Practice Address - Country:US
Practice Address - Phone:916-448-1821
Practice Address - Fax:916-448-8822
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32702122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist