Shan Gong, D.M.D. is a general practice dentist in Bronx, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Shan Gong, D.M.D. NPI is 1912367269. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
111 E 210TH ST
BRONX, NY
ZIP 10467-401
Phone: (781) 920-4321
The NPI 1912367269 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 2/29/2016 and was last updated on 10/8/2019.