Shen Dai in Staten Island - General Practice

Shen Dai - NPI 1184615171

Shen Dai is a General Practice in Staten Island, New York. Shen Dai practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shen Dai is 1184615171. The last update date is 2012-09-06.

Shen Dai's current location address is 26 Coverly Ave, Staten Island, New York. You can contact this provider via phone number 7184929807 and fax number 7185677903. The mailing address for Shen Dai is 26 Coverly Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Shen Dai
Address 26 Coverly Ave, Staten Island, New York
Phone Number 7184929807
Fax Number 7185677903
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1184615171
Provider Enumeration Date 2005-10-31
Last Updated Date 2012-09-06

Provider Mailing Address Detail

Address 26 Coverly Ave
City Staten Island
State New York (NY)
Post Code 103014548
Phone Number 7184929807
Fax Number 7185677903

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 45503
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1623945 NY --

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FAQs about Shen Dai

What is the unique 10-digit identifier code issued to Shen Dai by the Centers for Medicare & Medicaid Services?

The Shen Dai has been assigned the NPI (National Provider Identifier) 1184615171 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Shen Dai?

The Shen Dai is situated at 26 Coverly Ave, in the city of Staten Island, state of NY, with the zip code 103014548.

What is the Shen Dai's specialty and taxonomy code?

The Shen Dai's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Shen Dai receive its 1184615171 assignment from the Centers for Medicare & Medicaid Services?

The Shen Dai was assigned its 1184615171 by the Centers for Medicare & Medicaid Services on 2005-10-31.

As of what date were the details related to Shen Dai most recently updated or revised?

The information pertaining to Shen Dai, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-06.

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