Provider Demographics
NPI:1972507333
Name:NIEH, SHUNYU (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHUNYU
Middle Name:
Last Name:NIEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:NIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:672 W MINTON DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6581
Mailing Address - Country:US
Mailing Address - Phone:602-751-1013
Mailing Address - Fax:
Practice Address - Street 1:2072 E SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7595
Practice Address - Country:US
Practice Address - Phone:480-491-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD45561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice