CHENG ZHU DMD DENTAL GROUP INC (NPI# 1720579485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720579485 |
| Entity Type | Organization |
| Organization Name | CHENG ZHU DMD DENTAL GROUP INC |
| Other Organization Name | FREEDOM FAMILY, COSMETIC AND SEDATION DENTAL |
| Practice Address |
2201 Boynton Ave Fairfield CA 94533 |
| Practice Telephone | 7024222236 |
| Mailing Telephone | 7024222236 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | CHENG ZHU (DENTIST) |
| Authorized Official Telephone | 7074222236 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
61992 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Freedom Family, Cosmetic and Sedation Dental | Doing Business As Name - Organization |
| Street Address |
2201 BOYNTON AVE |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588715767 | Alex Ming Shaw | Dentist | 2201 Boynton Ave, Fairfield, CA 94533-4319 | 2007-01-15 |
| 1629323290 | Jamie Rose Smith | Dentist | 2201 Boynton Ave, Fairfield, CA 94533-4301 | 2012-07-19 |
| 1770604647 | Freeman Family Dentistry | Dentist | 2201 Boynton Ave, Fairfield, CA 94533-4319 | 2007-04-02 |
| 1831240910 | Edward James Finsilver | Dentist | 2201 Boynton Ave, Fairfield, CA 94533-4319 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195885 | Megha Jadhav Dmd, Inc | Clinic/Center | Megha Jadhav Dmd Inc, 1261 Travis Blvd Ste 160, Fairfield, CA 94533-3642 | 2018-12-06 |
| 1730470006 | County of Solano | Clinic/Center | 275 Beck Ave # Ms 5210, Fairfield, CA 94533-6804 | 2011-04-21 |
| 1083845275 | County of Solano | Clinic/Center | 2201 Courage Drive, Fairfield, CA 94533-6717 | 2009-08-05 |
| 1568471654 | James C. Bawden IIi, D.d.s. Inc. | Clinic/Center | 1700 Pennsylvania Ave, Suite D., Fairfield, CA 94533-3588 | 2006-08-07 |
| 1912496472 | Navid Mehranpour Dds, Dental Corp. | Clinic/Center | 1545 N Texas St Ste 311, Fairfield, CA 94533-5623 | 2018-05-09 |
| 1720510001 | Dent-al Smiles, LLC | Clinic/Center | 1115 Hicks Blvd, # 3, Fairfield, OH 45014-2889 | 2017-03-28 |
| 1710284518 | Kennebec Valley Dental Arts | Clinic/Center | 51 Western Ave, Suite 3b, Fairfield, ME 04937-1382 | 2011-02-15 |
| 1457592958 | Mark Choi Dds Inc | Clinic/Center | 2500 N Texas St, Suite C, Fairfield, CA 94533-1639 | 2009-03-12 |
| 1689879447 | Fairfield Family Dental Care | Clinic/Center | 271 Us Highway 46, Suite A101, Fairfield, NJ 07004-2440 | 2007-06-20 |
| 1508078817 | County of Solano | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2007-05-07 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.