Shasan William Liou, DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHASAN WILLIAM LIOU, DMD, LLC

Doing business as

American Pediatric Dental Group

Practice address

12331 SW 3Rd St Ste 5
Plantation, FL 33325-2813

Phone

(844) 304-5437

NPI assigned

Jan 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shasan William Liou, DMD

Title

Manager

Phone

(678) 427-1412

Specialties & licenses 2

Addresses

Other names 1

• American Pediatric Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1730697723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 PINES BLVD STE 100",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246191",
            "telephone_number": "844-304-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 SW 3RD ST STE 5",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333252813",
            "telephone_number": "844-304-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASAN WILLIAM LIOU, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "LIOU",
        "authorized_official_first_name": "SHASAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-427-1412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Pediatric Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Shapiro, SLP-CCC
• Deepika Sharad, DO
• David M Sharaf, MD
• Ahlam Sharifeh, DC
• Ashok K Sharma, MD
• Chrissyl Kandis Shaw, PSY.D.
• Elizabeth Rachel Shaw, LCSW
• Neiko Shea
• Robert W Shectman, DDS
• Sheeraz Baig DO Inc

• General Practice Dentistry in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.