Provider Demographics
NPI:1356220750
Name:CHIENG, JEREMY SY (DDS)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:SY
Last Name:CHIENG
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:PO BOX 661148
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-1148
Mailing Address - Country:US
Mailing Address - Phone:626-616-0718
Mailing Address - Fax:
Practice Address - Street 1:8130 VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3309
Practice Address - Country:US
Practice Address - Phone:909-740-0208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist