Provider Demographics
NPI:1316083777
Name:FENG, HSI-LIN SPENCER (DDS)
Entity type:Individual
Prefix:DR
First Name:HSI-LIN
Middle Name:SPENCER
Last Name:FENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13107 40TH RD STE E16
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5208
Mailing Address - Country:US
Mailing Address - Phone:718-358-8989
Mailing Address - Fax:718-358-8959
Practice Address - Street 1:13107 40TH RD STE E16
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5208
Practice Address - Country:US
Practice Address - Phone:718-358-8989
Practice Address - Fax:718-358-8959
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0516011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice