Provider Demographics
NPI:1538168182
Name:CHENG, JOHNSON CHI-HIN (DDS)
Entity type:Individual
Prefix:
First Name:JOHNSON
Middle Name:CHI-HIN
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 1:6928 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3228
Mailing Address - Country:US
Mailing Address - Phone:703-354-6289
Mailing Address - Fax:703-354-3335
Practice Address - Street 1:6928 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE A
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3228
Practice Address - Country:US
Practice Address - Phone:703-354-6289
Practice Address - Fax:703-354-3335
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006017122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist