Tang, Jack Shengyu
Tang, Jack Shengyu is an individual health care provider with primary practice located at 15301 Warren Shingle Rd , Beale Afb CA 95903-1905. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Tang, Jack Shengyu can be contacted via phone (530) 634-4781.Contact Information
Primary practice address
15301 Warren Shingle Rd
Beale Afb CA 95903-1905
Phone: (530) 634-4781
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | 31014849 | Ohio |
Dental Providers / Dentist | 122300000X | 30.026476 | Ohio |
Profile Details
NPI number | 1942895479 |
---|---|
LBN Legal business name | Tang, Jack Shengyu |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2021 |
Last updated | Jan 12th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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