Provider Demographics
NPI:1568791531
Name:SHERN, JIMMY YUE MING (DMD)
Entity Type:Individual
Prefix:MR
First Name:JIMMY YUE MING
Middle Name:
Last Name:SHERN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:YUEMING
Other - Middle Name:YM
Other - Last Name:SHERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3150 COLIMA RD
Mailing Address - Street 2:STE. A
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6356
Mailing Address - Country:US
Mailing Address - Phone:626-369-9494
Mailing Address - Fax:
Practice Address - Street 1:3150 COLIMA RD
Practice Address - Street 2:STE. A
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6356
Practice Address - Country:US
Practice Address - Phone:626-369-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist