Ying An
Individual provider Active NPI Pediatric Dentistry · Fairlawn, OH
NPI 1780032045 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1780032045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 30.024747 (OH)
- Practice address
- 3523 Commercial Dr
Fairlawn, OH 44333-5107 - Phone
- (330) 668-9977
- NPI assigned
- May 27, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024747 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Pediatric Dentistry by Ying an DDS PHD LLC | Pediatric Dentistry | Current | Accepting new patients |
| Raj Vij DDS Inc | Past |
Accepting new patients |
Interoperability endpoints
- yan75558@ehrdirect.uhhospitals.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30.024747 | OH | Yes |
Addresses
Primary practice location
3523 Commercial Dr
Fairlawn, OH 44333-5107
Mailing address
18207 Sherrington Rd
Shaker Heights, OH 44122
Phone (484) 919-2375
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 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.