Provider Demographics
NPI:1578927919
Name:CHA, CHUE YING (DDS)
Entity type:Individual
Prefix:
First Name:CHUE
Middle Name:YING
Last Name:CHA
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 1:361 N ORANGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-3232
Mailing Address - Country:US
Mailing Address - Phone:559-813-0386
Mailing Address - Fax:
Practice Address - Street 1:1439 ARCADE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-1800
Practice Address - Country:US
Practice Address - Phone:651-776-4766
Practice Address - Fax:651-776-6622
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MND139011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program