Provider Demographics
NPI:1205408549
Name:WENG, STEPHANIE CHIA-WEI (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:CHIA-WEI
Last Name:WENG
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 LANGSTON DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3686
Mailing Address - Country:US
Mailing Address - Phone:469-441-3261
Mailing Address - Fax:
Practice Address - Street 1:1111 W AIRPORT FWY STE 201
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6213
Practice Address - Country:US
Practice Address - Phone:972-793-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics