Provider Demographics
NPI:1962181065
Name:SHI, NAILIN (DDS)
Entity type:Individual
Prefix:DR
First Name:NAILIN
Middle Name:
Last Name:SHI
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 1:1111 LEXINGTON AVE APT 1937
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-8379
Mailing Address - Country:US
Mailing Address - Phone:972-249-7527
Mailing Address - Fax:
Practice Address - Street 1:3969 TEASLEY LN STE 1500
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8468
Practice Address - Country:US
Practice Address - Phone:940-387-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39813122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist