Provider Demographics
NPI:1184843054
Name:SHUN-YU NIEH D.D.S. P.C.
Entity type:Organization
Organization Name:SHUN-YU NIEH D.D.S. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHUNYU
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-478-5435
Mailing Address - Street 1:10210 W MCDOWELL RD
Mailing Address - Street 2:STE. #140
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-4842
Mailing Address - Country:US
Mailing Address - Phone:623-478-5435
Mailing Address - Fax:623-478-5433
Practice Address - Street 1:10210 W MCDOWELL RD
Practice Address - Street 2:STE. #140
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323-4842
Practice Address - Country:US
Practice Address - Phone:623-478-5435
Practice Address - Fax:623-478-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental