Provider Demographics
NPI:1497042246
Name:JIN, SHARON XIAO YING (DMD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:XIAO YING
Last Name:JIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LONGFELLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1508
Mailing Address - Country:US
Mailing Address - Phone:585-935-1409
Mailing Address - Fax:
Practice Address - Street 1:87 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2578
Practice Address - Country:US
Practice Address - Phone:781-444-6650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18556941223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics