Provider Demographics
NPI:1992891469
Name:CHIEN, SHIH M (DDS)
Entity type:Individual
Prefix:DR
First Name:SHIH
Middle Name:M
Last Name:CHIEN
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 1:6642 S. OLIVE CT.
Mailing Address - Street 2:
Mailing Address - City:CENTINNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-740-8999
Mailing Address - Fax:
Practice Address - Street 1:500 E. 84TH AVE.
Practice Address - Street 2:
Practice Address - City:THORTON
Practice Address - State:CO
Practice Address - Zip Code:80229
Practice Address - Country:US
Practice Address - Phone:303-288-0888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO1057671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice