SHIYUAN MAO DMD NPI 1700464443

NPI Information

  • NPI: 1700464443
  • Provider Name: SHIYUAN MAO, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 GRANITE ST STE C
    WESTERLY, RI
    ZIP 02891
  • Phone: (401) 596-8720

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NPI Details

Shiyuan Mao, DMD is a pediatric dentistry dentist in Westerly, RI. The provider is 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. Shiyuan Mao, DMD NPI is 1700464443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 GRANITE ST STE C
WESTERLY, RI
ZIP 02891-461
Phone: (401) 596-8720

The NPI 1700464443 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 4/1/2021 and was last updated on 1/15/2025.

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
11223P0221XDentistPediatric DentistryDEN2000475DISTRICT OF COLUMBIANo
21223P0221XDentistPediatric Dentistry13933CONNECTICUTNo
31223P0221XDentistPediatric DentistryDEN03671RHODE ISLANDYes

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: 11/21/2025

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