Provider Demographics
NPI:1689908774
Name:LIN, THOMAS HSUEH-SHENG (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HSUEH-SHENG
Last Name:LIN
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 1:1712 I ST NW
Mailing Address - Street 2:UNIT 202
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3702
Mailing Address - Country:US
Mailing Address - Phone:203-659-3500
Mailing Address - Fax:202-659-5596
Practice Address - Street 1:1712 I ST NW
Practice Address - Street 2:UNIT 202
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3702
Practice Address - Country:US
Practice Address - Phone:203-659-3500
Practice Address - Fax:202-659-5596
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0380411223P0300X
DCDEN10009361223P0300X
VA04014128721223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics