Wayne Shyh Chiu, DDS
Individual provider Active NPI General Practice Dentistry · Highland, CA
NPI 1174619803 · NPPES record last updated Feb 8, 2016
Key facts
- NPI
- 1174619803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 46370 (CA)
- Practice address
- 3654 Highland Ave.
Ste 9
Highland, CA 92346 - Phone
- (909) 425-2500
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46370 | CA | Yes |
Addresses
Primary practice location
3654 Highland Ave.
Ste 9
Highland, CA 92346
Mailing address
3654 Highland Ave.
Ste 9
Highland, CA 92346
Phone (909) 425-2500
Other providers in Highland, CA
- Alma Daniela Cerrato-Lopez
- Mallory Antonina Chapin
- Renee L Chavez
- Cheri'S Care
- PO-Ting CHI
- Chandra Chockalingam
- Jongyeob Choi
- Chopra Medical LLC
- Seunghwan Chung
- Kelli Anne Clark
All providers in Highland, CA · General Practice 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 Feb 8, 2016. 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.