Provider Demographics
NPI:1689760688
Name:LIU, BING (DMD)
Entity Type:Individual
Prefix:DR
First Name:BING
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 LITTLETON RD
Mailing Address - Street 2:UNIT 113
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2634
Mailing Address - Country:US
Mailing Address - Phone:978-250-9883
Mailing Address - Fax:978-250-9883
Practice Address - Street 1:556 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2515
Practice Address - Country:US
Practice Address - Phone:508-583-1218
Practice Address - Fax:508-583-1218
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice