Provider Demographics
NPI:1164081600
Name:XIONG & YANG DENTAL, LLC DBA CHESTER FAMILY DENTAL
Entity Type:Organization
Organization Name:XIONG & YANG DENTAL, LLC DBA CHESTER FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAY
Authorized Official - Middle Name:XI
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:913-787-1537
Mailing Address - Street 1:2981 FISHING CREEK CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-8116
Mailing Address - Country:US
Mailing Address - Phone:913-787-1537
Mailing Address - Fax:
Practice Address - Street 1:1157 CAMDEN AVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3014
Practice Address - Country:US
Practice Address - Phone:803-327-3858
Practice Address - Fax:803-327-4137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-09
Last Update Date:2019-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental