Provider Demographics
NPI:1013588052
Name:SHING, DEVYN LOU (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEVYN
Middle Name:LOU
Last Name:SHING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3680 E RACE AVE
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-6203
Mailing Address - Country:US
Mailing Address - Phone:501-380-6046
Mailing Address - Fax:
Practice Address - Street 1:3680 E RACE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6203
Practice Address - Country:US
Practice Address - Phone:501-380-6046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4540122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist