Provider Demographics
NPI:1790750610
Name:HSIA, SEAN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:S
Last Name:HSIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 W. STACY ROAD
Mailing Address - Street 2:180
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3021
Mailing Address - Country:US
Mailing Address - Phone:214-608-8112
Mailing Address - Fax:
Practice Address - Street 1:913 W. STACY ROAD
Practice Address - Street 2:180
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3021
Practice Address - Country:US
Practice Address - Phone:214-383-5562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23573122300000X
CA528661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice