Provider Demographics
NPI:1760545594
Name:SHUI, JOHN SHENG YOW (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SHENG YOW
Last Name:SHUI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:S
Other - Last Name:SHUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1702 SOUTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707
Mailing Address - Country:US
Mailing Address - Phone:714-796-9253
Mailing Address - Fax:714-796-9256
Practice Address - Street 1:1702 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707
Practice Address - Country:US
Practice Address - Phone:714-796-9253
Practice Address - Fax:714-796-9256
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9247402OtherDENTI CAL
CAG9826902OtherDELTA DENTAL HEALTHY FAMI
CAG9247402Medicaid