SHINY STUDIO PLLC NPI 1073155784

NPI Information

  • NPI: 1073155784
  • Provider Name: SHINY STUDIO PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 112 INDUSTRIAL AVE
    AZLE, TX
    ZIP 76020
  • Phone: (817) 270-3700

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NPI Details

SHINY STUDIO PLLC is a dental clinic center in Azle, TX. SHINY STUDIO PLLC NPI is 1073155784. The provider is registered as an organization entity type.

The provider's business location address is:

112 INDUSTRIAL AVE
AZLE, TX
ZIP 76020-934
Phone: (817) 270-3700

The provider's authorized official is So Chung .
The authorized official title is Owner and has the following contact phone number (347) 899-5601.

The enumeration date for this NPI number is 10/14/2019 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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