Provider Demographics
NPI:1588067458
Name:TZENG, SHINETIN (DDS)
Entity type:Individual
Prefix:DR
First Name:SHINETIN
Middle Name:
Last Name:TZENG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7224 INDEPENDENCE PKWY
Mailing Address - Street 2:SUITE 312
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5759
Mailing Address - Country:US
Mailing Address - Phone:972-312-1718
Mailing Address - Fax:
Practice Address - Street 1:7224 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE 312
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5759
Practice Address - Country:US
Practice Address - Phone:972-312-1718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29944122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist