Provider Demographics
NPI:1376120592
Name:SUNG SHYN, DDS, INC
Entity Type:Organization
Organization Name:SUNG SHYN, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHYN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:559-325-8000
Mailing Address - Street 1:240 W SHAW AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-3694
Mailing Address - Country:US
Mailing Address - Phone:559-325-8000
Mailing Address - Fax:559-325-6989
Practice Address - Street 1:240 W SHAW AVE STE 110
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3694
Practice Address - Country:US
Practice Address - Phone:559-325-8000
Practice Address - Fax:559-325-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty