Provider Demographics
NPI:1720228927
Name:ZHOU, JING (DDS, PHD, MSD)
Entity Type:Individual
Prefix:DR
First Name:JING
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:DDS, PHD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1493 APPLING DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4688
Mailing Address - Country:US
Mailing Address - Phone:317-260-8999
Mailing Address - Fax:
Practice Address - Street 1:3425 MAYBANK HWY STE B
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-4821
Practice Address - Country:US
Practice Address - Phone:843-800-2505
Practice Address - Fax:843-868-8754
Is Sole Proprietor?:No
Enumeration Date:2009-02-27
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC84901223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics