Provider Demographics
NPI:1952562852
Name:CHEY, MARSHALL B (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:B
Last Name:CHEY
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 1:3811 SAN DIMAS ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5728
Mailing Address - Country:US
Mailing Address - Phone:661-327-7541
Mailing Address - Fax:661-327-3467
Practice Address - Street 1:3811 SAN DIMAS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5728
Practice Address - Country:US
Practice Address - Phone:661-327-7541
Practice Address - Fax:661-327-3467
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA574601223P0221X
NY50-053063-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03034902Medicaid