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MAXILLOFACIAL SURGERY CENTER OF SAN JOSE
NPI 1174530026
Dentist - Oral and Maxillofacial Surgery in San Jose, CA

Active since August 02, 2006
2039 FOREST AVENUE, SUITE #306, SAN JOSE, CA 95128(408) 298-7775(408) 298-0936 Get Directions Write a Review

NPPES record last updated: April 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maxillofacial Surgery Center Of San Jose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAXILLOFACIAL SURGERY CENTER OF SAN JOSE (NPI 1174530026) is a healthcare organization registered as an oral and maxillofacial surgery in San Jose, California and active in the NPI registry since August 2006. The organization lists Chien Yvan Cheng, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1174530026
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCHENG DDS MD INC AND WEN S FAN DMD MD INC A PARTNERSHIP
Location Address2039 FOREST AVENUE, SUITE #306San Jose, CA 95128
Mailing Address2039 Forest Avenue, Suite #306San Jose, CA 95128 · (408) 298-7775 · Fax (408) 298-0936
Phone(408) 298-7775
Fax(408) 298-0936
Organization SubpartNo
Authorized OfficialChien Yvan ChengOwner/partner · (408) 298-7775
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 4, 2011
✔ NPI 1174530026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · 45438✔ Licensed in CA · 23580✔ Licensed in CA · 52603
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License FNP2936 (CA)
2039 FOREST AVENUE, San Jose, CA 95128
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Other Names 1

Doing Business AsMaxillofacial Surgery Center Of San Jose

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheng Dds MD Inc And Wen S Fan Dmd MD Inc A Partnership's NPI number?

The NPI number for Cheng Dds MD Inc And Wen S Fan Dmd MD Inc A Partnership is 1174530026. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Maxillofacial Surgery Center Of San Jose.

Where is Cheng Dds MD Inc And Wen S Fan Dmd MD Inc A Partnership located?

Cheng Dds MD Inc And Wen S Fan Dmd MD Inc A Partnership is located at 2039 Forest Avenue Suite #306, San Jose, CA 95128. The listed phone number is (408) 298-7775.

What is Cheng Dds MD Inc And Wen S Fan Dmd MD Inc A Partnership's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Cheng Dds MD Inc And Wen S Fan Dmd MD Inc A Partnership was last updated on April 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.