Provider Demographics
NPI:1982812715
Name:CHEUNG, WING-KAI ANTHONY (DDS)
Entity Type:Individual
Prefix:DR
First Name:WING-KAI
Middle Name:ANTHONY
Last Name:CHEUNG
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 1:4915 MONONA DR
Mailing Address - Street 2:SUITE NUMBER 201
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2665
Mailing Address - Country:US
Mailing Address - Phone:608-223-9788
Mailing Address - Fax:608-223-9789
Practice Address - Street 1:4915 MONONA DR
Practice Address - Street 2:SUITE NUMBER 201
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-2665
Practice Address - Country:US
Practice Address - Phone:608-223-9788
Practice Address - Fax:608-223-9789
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4037122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist