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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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