SHINING DENTAL PLLC (NPI# 1801357918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801357918 |
| Entity Type | Organization |
| Organization Name | SHINING DENTAL PLLC |
| Practice Address |
14238 37th Ave Unit 1f Flushing NY 11354-4569 |
| Practice Telephone | 3476998868 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LILY YE (OWNER) |
| Authorized Official Telephone | 3476998868 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03422497 | 05 |
| Street Address |
14238 37TH AVE UNIT 1F |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841602745 | Helen Kim | Dentist | 13107 40th Rd Ste E30, Flushing, NY 11354-5205 | 2014-05-27 |
| 1659639326 | Jia Huang | Dentist | 13620 38th Ave Ste 8h, Flushing, NY 11354-4232 | 2012-05-01 |
| 1558688770 | Erica Chang | Dentist | 4346 157th St Fl 2, Flushing, NY 11355-1344 | 2010-04-27 |
| 1932361144 | Lily Ye | Dentist | 14209 60th Ave, Flushing, NY 11355-5301 | 2008-06-29 |
| 1760603906 | Sung Ran Hong | Dentist | 14207 37th Ave, Flushing, NY 11354-4102 | 2007-05-02 |
| 1205982196 | Chiranjib Dutta | Dentist | 36 61 Main Street, Flushing, NY 11354 | 2007-01-25 |
| 1871604371 | Laser Dentistry for Children, LLC | Dentist | 13514 Jewel Ave, Flushing, NY 11367-1920 | 2006-08-31 |
| 1538279625 | Barry L. Jacobson | Dentist | 135-14 Jewel Ave, Flushing, NY 11367 | 2006-08-30 |
| 1932182755 | Silvestro Iommazzo Jr. | Dentist | 176 -60 Union Turnpike, Suite 120, Flushing, NY 11366 | 2005-11-25 |
| 1164403440 | Yar Yin Lee | Dentist | 13911 Franklin Ave, 1 Fl, Flushing, NY 11355-3342 | 2005-11-14 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.