Provider Demographics
NPI:1043607153
Name:SHIEH DENTAL, INC.
Entity Type:Organization
Organization Name:SHIEH DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S.
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-763-7400
Mailing Address - Street 1:475 8TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-3936
Mailing Address - Country:US
Mailing Address - Phone:510-763-7400
Mailing Address - Fax:510-763-7474
Practice Address - Street 1:475 8TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3936
Practice Address - Country:US
Practice Address - Phone:510-763-7400
Practice Address - Fax:510-763-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49669122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty