| Shining Dental Pllc | |
|
14238 37th Ave Unit 1f Flushing NY 11354-4569 | |
| (347) 699-8868 | |
| Not Available |
| Full Name | Shining Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14238 37th Ave Unit 1f, Flushing, New York |
| Authorized Official Name and Position | Lily Ye (OWNER) |
| Authorized Official Contact | 7188089898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Dental Pllc 14238 37th Ave Unit 1f Flushing NY 11354-4569 Ph: () - | Shining Dental Pllc 14238 37th Ave Unit 1f Flushing NY 11354-4569 Ph: (347) 699-8868 |
| NPI Number | 1801357918 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 01/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801357918 | NPI | - | NPPES |
| 03422497 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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