Provider Demographics
NPI:1740214907
Name:CHIANG, SHIH MEI JOSEPHINE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SHIH MEI
Middle Name:JOSEPHINE
Last Name:CHIANG
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:13 BRANCH ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1975
Mailing Address - Country:US
Mailing Address - Phone:978-989-0777
Mailing Address - Fax:978-989-0779
Practice Address - Street 1:13 BRANCH ST
Practice Address - Street 2:SUITE 212
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1975
Practice Address - Country:US
Practice Address - Phone:978-989-0777
Practice Address - Fax:978-989-0779
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA194241223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics