David Shen Dental Corp

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Antioch, CA

NPI 1487843728 · NPPES record last updated Oct 25, 2007

Key facts

NPI
1487843728
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
DAVID SHEN DENTAL CORP
Practice address
5117 Lone Tree Way
Antioch, CA 94531
Phone
(925) 777-9922
Fax
(925) 777-9979
NPI assigned
Oct 23, 2007
Organization subpart
No

Authorized official

Name
Dr. David T Shen
Title
Chief Financial Officer
Phone
(650) 589-4563

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
David Shen Dental Corporation (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223X0400X CA Yes

Addresses

Primary practice location

5117 Lone Tree Way
Antioch, CA 94531

Mailing address

883 Sneath Lane
#130
San Bruno, CA 94066
Phone (650) 589-4563

Other names

  • Orthoworks Doing business as

Other providers in Antioch, CA

All providers in Antioch, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California

Sources for this page

Verify at the official NPI Registry.