Individual provider · Type 1 NPI

Anna Jaeeun Cheong, DDS

Student in an Organized Health Care Education/Training Program · Fairfield, CA

NPI number 1124976964 Active

Practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Call (707) 423-7065 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124976964

Anna Jaeeun Cheong, DDS's National Provider Identifier is 1124976964, issued on Mar 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 29, 2026.