Provider Demographics
NPI:1194121038
Name:HSIA, JENOVIE MING-SHING (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:JENOVIE
Middle Name:MING-SHING
Last Name:HSIA
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 HUBBELL PL
Mailing Address - Street 2:APT 1507
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1965
Mailing Address - Country:US
Mailing Address - Phone:857-225-0509
Mailing Address - Fax:
Practice Address - Street 1:715 N 182ND ST
Practice Address - Street 2:SUITE 401
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4402
Practice Address - Country:US
Practice Address - Phone:206-542-4848
Practice Address - Fax:206-546-2821
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 605071641223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics