David Shen Dental Corp
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Pacifica, CA
NPI 1043364557 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043364557
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- DAVID SHEN DENTAL CORP
- Practice address
- 669 Crespi Drive Suite 1
Pacifica, CA 94044 - Phone
- (650) 589-4563
- Fax
- (650) 589-1155
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David T Shen, DMD
- Title
- Chief Financial Officer
- Phone
- (650) 589-4563
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- David Shen Dental Corporation
Locations
669 Crespi Dr
Ste 1
Pacifica, CA 94044
Phone (650) 589-4563
883 Sneath Ln
#130
San Bruno, CA 94066
Phone (650) 589-4563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | CA | Yes |
Addresses
Primary practice location
669 Crespi Drive Suite 1
Pacifica, CA 94044
Mailing address
883 Sneath Lane #130
San Bruno, CA 94066
Phone (650) 589-4563
Other names
- Orthoworks
Other providers in Pacifica, CA
- Victoria T Cruz
- Philip Cusick
- Diane Custer
- Yolonda Jordan Damico
- Carolyn Rowe Danforth
- Meagan Davidson
- Charlie Davis
- Allan Rae Del Rosario
- Frances Marie Devlin
- Clarissa Laqui Dimacali
All providers in Pacifica, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.