Provider Demographics
NPI:1821211848
Name:LIN, SHIH-PING SAMUEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHIH-PING
Middle Name:SAMUEL
Last Name:LIN
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:PO BOX 3250
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-3250
Mailing Address - Country:US
Mailing Address - Phone:281-497-1240
Mailing Address - Fax:
Practice Address - Street 1:9600 BELLAIRE BLVD STE 222
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4538
Practice Address - Country:US
Practice Address - Phone:713-270-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13477122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist