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AILIN SHANDMDPLLC NPI 1962672535


NPI Information

NPI: 1962672535
Provider Name: AILIN SHAN,DMD,PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5412 GLENSIDE DR
SUITE C
RICHMOND, VA
ZIP 23228
Phone: (804) 756-6658
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AILIN SHAN,DMD,PLLC is a general practice dentist in Richmond, VA. 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. AILIN SHAN,DMD,PLLC NPI is 1962672535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5412 GLENSIDE DR
SUITE C
RICHMOND, VA
ZIP 23228-995
Phone: (804) 756-6658
Fax: (804) 756-6662

The provider's authorized official is Ailin Shan .
The authorized official title is President and has the following contact phone number (804) 756-6658.

The enumeration date for this NPI number is 3/10/2008 and was last updated on 3/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice0401410938VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19180406MEDICAIDVIRGINIA

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: 4/28/2024

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