Provider Demographics
NPI:1861577611
Name:CHEUNG, WINNIE W (DMD)
Entity type:Individual
Prefix:DR
First Name:WINNIE
Middle Name:W
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:DMD
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 1515
Mailing Address - Street 2:
Mailing Address - City:SOUTHWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01077-1515
Mailing Address - Country:US
Mailing Address - Phone:413-569-1118
Mailing Address - Fax:412-569-2088
Practice Address - Street 1:515 COLLEGE HWY
Practice Address - Street 2:
Practice Address - City:SOUTHWICK
Practice Address - State:MA
Practice Address - Zip Code:01077-9813
Practice Address - Country:US
Practice Address - Phone:413-569-1118
Practice Address - Fax:413-569-2088
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA199691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice