Provider Demographics
NPI:1831216456
Name:SHIH, KINGSTONE CHICHUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:KINGSTONE
Middle Name:CHICHUNG
Last Name:SHIH
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 1:3351 EL CAMINO REAL, STE. 222
Mailing Address - Street 2:
Mailing Address - City:ATHERTON
Mailing Address - State:CA
Mailing Address - Zip Code:94027
Mailing Address - Country:US
Mailing Address - Phone:650-361-0180
Mailing Address - Fax:650-361-0113
Practice Address - Street 1:505 SOUTH DR. STE. 10
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:950-964-1300
Practice Address - Fax:650-335-4707
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA424981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics