Provider Demographics
NPI:1790914133
Name:CHIANG, YU-TING CHRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:YU-TING
Middle Name:CHRISTINA
Last Name:CHIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 MICHAEL DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-6100
Mailing Address - Country:US
Mailing Address - Phone:308-520-4114
Mailing Address - Fax:712-642-3664
Practice Address - Street 1:1018 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-6100
Practice Address - Country:US
Practice Address - Phone:308-520-4114
Practice Address - Fax:712-642-3664
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice