David Shen Dental Corp

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

NPI 1992859409 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992859409
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
DAVID SHEN DENTAL CORP
Practice address
500 Alfred Nobel Drive #125
Hercules, CA 94547
Phone
(510) 741-8808
Fax
(510) 741-8885
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

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)

Locations

500 Alfred Nobel Dr
Ste 125
Hercules, CA 94547
Phone (510) 741-8808

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X CA Yes

Addresses

Primary practice location

500 Alfred Nobel Drive #125
Hercules, CA 94547

Mailing address

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

Other names

  • Orthoworks Doing business as

Other providers in Hercules, CA

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

Sources for this page

Verify at the official NPI Registry.